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June 3, 1905


JAMA. 1905;XLIV(22):1749-1756. doi:10.1001/jama.1905.92500490025001i

Case 8.  Mr. Z.; Bohemian, aged 26; was admitted to Mercy hospital April 19, 1904.

Present Illness.  Patient does not speak English and it was impossible, therefore, to obtain a perfectly accurate history. Through an interpreter he stated that stiffness in the right elbow began to develop about ten years ago, and progressed steadily until the joint was completely ankylosed at a right angle. He stated positively that there was no acute inflammation in the joint at any time, and that he had never injured the elbow. From his statement it would seem that the lesion was from the first an ankylosing arthritis. No other joints were involved and his general health was good. He gave no history of tubercular or of specific trouble.

Examination.  The patient is of medium stature, rather poorly nourished. The right forearm was flexed at a right angle, and

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