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August 19, 1939


JAMA. 1939;113(8):676-680. doi:10.1001/jama.1939.72800330006011

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THE THERAPY OF CHRONIC ARTHRITIS  In Collaboration with Dr. Eugene F. TrautChronic arthritis counts more victims than does tuberculosis. While not as fatal, it may be quite as disabling. Much better care for these unfortunates is demanded than has hitherto been their lot. The management of this disease requires superhygiene. "The arthritic must not only live well but better than well" (Pemberton).There are three ways in which arthritis may be produced. One is from without (trauma or strain); another is from within (e. g., by infection). The third combines these two, the effect of strain on a joint damaged by disease resulting in a vicious circle. Other factors to the influence of which chronic arthritis owes its chronicity are endocrinopathies and subvitaminoses. Still more subtle is an inherited, constitutional inferiority of joint tissue. The therapy of chronic arthritis demands the breaking in on this vicious circle—the reason for

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