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In the gradual breaking up of the significance of the word rheumatism which used to prove so satisfactory a designation for so many heterogeneous affections, there is nothing of more interest than the prominent place which is to be assumed among its successors by gonorrheal arthritis. The French have long employed for it the term urethral arthritis, because they consider that there may be affections of the urethra, some of them really secondary complications of gonorrhea, but due to other micro-organisms besides the gonococcus, that may produce metastases to the joints with consequent inflammatory effusion and the typical picture of an arthritis. The French are prone as a nation to be more suspicious of the possibility of venereal complications in apparently innocent affections and are not entirely assured that an arthritis in a particular case may not be of urethral origin unless they are able to determine with certainty that
GONORRHEAL ARTHRITIS.. JAMA. 1905;XLV(3):199–200. doi:10.1001/jama.1905.02510030057009
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