The need for greater refinement in the classification of acute and chronic diseases of the joints would seem to be obvious, and there is not wanting evidence of healthy activity in this direction. It would appear that in addition to acute specific infectious inflammation of one or more joints—which for the sake of convenience we may continue to designate "acute articular rheumatism"—there occur other joint-inflammations that result from infection with the causative agents of other diseases, as scarlet fever, influenza, gonorrhea, smallpox, pyemia, etc. Any of these articular affections may be followed by a chronic condition of the joints, and as to the propriety of designating them "rheumatic" there may be some doubt, although this chronic disorder may also be of insidious origin, apparently without antecedent local disease. From this chronic affection of the joints that known as deforming or rheumatoid arthritis differs in several respects; and it seems not
DEFORMING OR RHEUMATOID ARTHRITIS. JAMA. 1901;XXXVI(20):1399–1400. doi:10.1001/jama.1901.02470200039004
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