Rheumatic Fever in Adults

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To the editor: I have read with great interest the article in the December 1978 issue on acute rheumatic fever in adults (1) and wish to add two cases to those presented.

In the last 5 months I have seen two cases of acute rheumatic fever in adults with presentations and courses similar to those presented in the above paper. In each patient, a 25-year-old Yemenite man and a 22-year-old Jamaican woman, the initial presentation was one of high fever to 39.4°C accompanied by a rapidly additive migratory and symmetric polyarthritis mainly involving the lower extremities.

The ankles and knees

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