Abstract
In the course of rheumatic fever, cardiac involvement is frequent and constitutes the chief menace of the disease. No method is known whereby affection of the heart may be effectually prevented. Nor has it been possible significantly to modify the progressive character of the lesions initiated in the structures of the heart by the rheumatic process. These lesions are of two kinds: (1) exudative, representing the reaction to acute infection or intoxication and appearing characteristically in the myocardium as Aschoff bodies; (2) proliferative, the latter denoting attempts at healing, with the formation of scar tissue.There are reasons for believing that roentgen rays, in suitable doses, might be expected to exercise an effect upon rheumatic lesions in the heart. Radiotherapy has been successfully employed in the treatment of certain low-grade infections and is now standard practice in the management of tuberculous lymphadenitis and acne. Even more acute inflammatory conditions, such as carbuncles and furun...
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