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July 31, 1897


Author Affiliations


JAMA. 1897;XXIX(5):223-224. doi:10.1001/jama.1897.02440310021001f

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I am expected to epitomize in fifteen minutes the wisdom of the ages with regard to the most frequent of all conditions, probably, of the better class of the human race. I want in the first place, however, to clearly develop before you what I myself believe, that all our scientific knowledge of gout at the present amounts to little more than a mass of trundling, expectation upon which hereafter shall be built some true knowledge. And I think that in the successful treatment of gout the understanding of this is the basis. There are three great manifestations of the same thing which is universally allied to itself. We have rheumatoid arthritis as one type; we have podagra or true gout, as the second type; and we have acute articular rheumatism as a third type. Let me give you just one illustration from family history, that of my own case,

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