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Acute rheumatic fever in adult patients.

Medicine (Baltimore) · 2022 · PMC9239616 · PMID 35777053

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a decreasing trendno p-value reported
Although the incidence of ARF in children has a decreasing trend in developed countries, resurgent and sporadic epidemics still occur in adults.

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.