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Article
February 3, 1917

SYPHILITIC BONE AND JOINT LESIONS SIMULATING TUBERCULOSIS

Author Affiliations

SAN FRANCISCO

JAMA. 1917;LXVIII(5):366-369. doi:10.1001/jama.1917.04270020046014
Abstract

Every paper should present its special points in the beginning so that the attention of those really interested may be fixed. This paper aims to give two special points: first, that there is a considerable number of syphilitic cases simulating tuberculosis and other bone and joint lesions that escape recognition; second, that there is a considerable number of cases of bone and joint syphilis that do not give a Wassermann reaction.

In the past year or two I have seen at least eighteen cases of bone and joint syphilis that have given negative Wassermann reactions. Some of these were unmistakable syphilis, as revealed by Roentgen-ray examination. In others the nature of the process could not be told in this manner. In these two groups of cases the clinical histories are strikingly similar in the individual cases in each group. In those frankly syphilitic on Roentgen-ray examination the histories are all

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