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December 24, 1927


Author Affiliations


JAMA. 1927;89(26):2174-2177. doi:10.1001/jama.1927.02690260022006

"An inflammatory articular affection dependent upon gonorrhea" seems to have been first described by Salle and Swediaur in 1781, and further elaborated by Brodie in 1818. Presumably, John Hunter recognized the disease to be of venereal origin as early as 1716, but because of his false judgment and assertions that gonorrhea, chancre and syphilis were one and the same, thereby retarding investigation as to the true nature of those diseases for more than a century, until Ricord propounded the truth, he cannot be accredited as the pioneer in this field. Fournier, relative to phalangeal joint involvement, referred to the disease as "radish fingers."

I can recall no disease, other than arthritis, in which the etiology and pathology are more diverse; therefore the difficulty, frequently encountered, particularly in those cases developing a few months or years after the acute attack of gonorrhea, in establishing the gonococcic origin of the condition. The

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