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February 3, 1900


Author Affiliations

Professor of Clinical Surgery in the University of Minnesota. MINNEAPOLIS, MINN.

JAMA. 1900;XXXIV(5):263-265. doi:10.1001/jama.1900.24610050009002a

I wish to call attention to the acute inflammation of joints, variously described under the titles "Acute Supparative Arthritis of Infants," "Epiphysitis" and "Acute Ostitis of Growing Bone." I chose this subject because these cases are not generally understood, and many joints and lives are sacrificed on the altar of our ignorance.

These inflammations occur, as a rule, either as complications or sequels of other diseases, and may begin either as a synovitis, an epiphysitis, or an osteomyelitis. The majority of cases begin as an osteomyelitis. When accompanying the exanthemata, diphtheria or typhoid, they are usually due to a streptococcus infection. Cases complicating pneumonia have been reported in which the diplococcus was the cause. The joints most commonly affected, in the order of their frequency, are the hip, knee, shoulder and elbow.

In the synovial variety the symptoms are as a rule comparatively mild. There is local heat, swelling and

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