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November 17, 1978

Management of Rheumatoid Arthritis and Its Complications

Author Affiliations

Veterans Administration Hospital Pittsburgh


by James William Hollingsworth, 255 pp, with illus, np, Chicago, Year Book, 1978.

JAMA. 1978;240(21):2333. doi:10.1001/jama.1978.03290210115052

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The dual purposes of the author are "to provide a framework that may help the physician manage the rheumatoid patient" and to update his highly regarded monograph Local and Systemic Complications of Rheumatoid Arthritis, published in 1968. To achieve these goals within a rather small space, Hollingsworth has sacrificed the presentation of many practical details in favor of ample references to the literature. This approach diminishes the usefulness of this book "to guide residents, fellows and general physicians."

Proper management requires accurate diagnosis. For example, while the differential diagnosis of rheumatoid arthritis from other systemic diseases is presented succinctly but clearly, the differentiation of a bursitis from symptoms of an adjacent arthritis is lacking. Instead of finding directions for the simple procedure of injecting the temporomandibular joints, the physician is advised to refer his patient to a dentist. Although corticosteroid preparations for intra-articular administration are available in at least three