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October 21, 1911


Author Affiliations


JAMA. 1911;LVII(17):1335-1338. doi:10.1001/jama.1911.04260100161001

It is natural that diseases the most obvious features of which are located in the joints should be grouped together just as diseases of the meninges, lungs, gastrointestinal tract, etc., are grouped. While we recognize the basis of classification in the other classes and realize that the diseases may have nothing in common, except the localization of some of their phenomena, in the case of the joints we have not yet progressed so far. No class of cases seems to offer greater facilities for study and treatment, and yet in the mind of the average practitioner everything, except the typical cases of rheumatic fever, is thrown into a nebulous class of chronic, rheumatic, rheumatoid or gouty arthritis, the treatment of which is almost hopelessly chaotic. Since Svdenhain differentiated acute rheumatic fever from gout, little progress has been made, speaking for the profession at large.

This confusion of ideas with the consequent thcrapeutic