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The following case is reported because of its rarity. It is especially rare because of the relation of the arthritis to gonorrheal conjunctivitis.
Baby X., aged 3 weeks, was seen in consultation with Dr. Benjamin N. Novy. Through ignorance of the mother's condition the infant's eyes had been permitted to become infected at birth. Subsequent investigation showed that the mother had gonorrhea. Within forty-eight hours after birth the child developed gonorrheal conjunctivitis, which proved to be of moderate severity and was under control at the time of my examination. On the fourteenth day the left wrist became greatly swollen, painful and slightly reddened. Three days later the right knee became involved in extensive swelling of a character similar to that of the swelling of the wrist. The immunity of infants from ordinary rheumatic arthritis, taken in connection with the typical physical characteristics of the involved joints, and the moderate
LYDSTON GF. GONORRHEAL ARTHRITIS OF WRIST AND KNEEIN A CHILD THREE WEEKS OLD. JAMA. 1910;55(6):498. doi:10.1001/jama.1910.04330060050014