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To the Editor. —
This letter is in response to the article “Rheumatic Fever in Children Younger Than 5 Years: Is the Presentation Different?” published in Pediatrics by Tani et al.1 The article alerts pediatricians to rheumatic fever (RF) in children <5 years old in the differential diagnosis, although the disease is uncommon in this age group.
Based on this study, we also reviewed our experience with the RF cases in the last 20 years. Data on 609 RF attacks seen in 564 patients seen from January 1982 through December 2001 were collected from the medical records. The diagnoses were based on revised Jones criteria before 1992 and on updated Jones criteria …
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