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November 30, 1935

Radiological Atlas of Chronic Rheumatic Arthritis (The Hand)

JAMA. 1935;105(22):1798-1799. doi:10.1001/jama.1935.02760480068028

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This atlas describes in detail the characteristic changes encountered in the hand in each of the four groups of rheumatoid, hypertrophic, chronic infective and gouty arthritis. The author chose the hand because he agrees with Schober, who said "the hand is the visiting card of the rheumatic patient." The radiologic examination should play an important part in the diagnosis and classification of arthritis. In a certain number of cases it is possible to form a fairly accurate idea as to the prognosis. The examination of a large number of standardized roentgenograms of the hand at all ages leads one to conclude that "a man is as old as his bones" rather than "as old as his arteries."

Roentgenology portrays pathologic changes on the films in terms of shadows, and it is on the correct interpretation of these shadows that the ultimate value of the examination depends, while the experience gained

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