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May 27, 1905


JAMA. 1905;XLIV(21):1671-1678. doi:10.1001/jama.1905.92500480019001e

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Cases 1 and 2, Mr. W. D., aged 21, occupation, barber, was admitted to Mercy hospital July 9, 1901.

present Illness.  This began in November, 1900, with high fever and very severe pains in the lumbar region. Shortly after onset the trouble extended to the hip, wrist and shoulder joints of both sides. He was confined to bed for six months. About one month after the onset both knees became affected. They were swollen and painful and for four months they were kept at rest in full extension. When the inflammatory process subsided both knees were stiff and this condition persisted. Since then he has walked only with the aid of crutches because of severe pain in the knees when his full weight is thrown on them. The trouble in the other joints subsided without ankylosis.

Previous Illness.  Two months before the onset of the present

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