Modern diagnosis and treatment of diseases of childern; a treatise on the medical and surgical diseases of infancy anf childhood . tions the mus-cular rheumatism resem-bles, and the facts thatthe latter promptly yieldsto the salicylates, and thatthere, as a rule, is a his-tory of involvement ofother groups of may alsoaffect the periosteum andgive rise to thickeningof the underlying bone,which condition, with theaccompanying pain andfever, may simulate incip-ient osteomyelitis. Fromwhat has been said, it canreadily be seen that thediagnosis of rheumatismin its various phases
Modern diagnosis and treatment of diseases of childern; a treatise on the medical and surgical diseases of infancy anf childhood . tions the mus-cular rheumatism resem-bles, and the facts thatthe latter promptly yieldsto the salicylates, and thatthere, as a rule, is a his-tory of involvement ofother groups of may alsoaffect the periosteum andgive rise to thickeningof the underlying bone,which condition, with theaccompanying pain andfever, may simulate incip-ient osteomyelitis. Fromwhat has been said, it canreadily be seen that thediagnosis of rheumatismin its various phases is farfrom being easy. Moreover, articularrheumatism may also bemistaken for: Syphilitic,gonorrheal, tuberculous,and the so-called septicarthritides, scurvy, and its allied affections and osteomyelitis. In our endeavor to differentiate rheumatism from the diversform> of articular and periarticular inflammations we must bearin mind that rheumatism is a primary febrile affection, as a in development : that it- inflammatory process is transient,and its localization multifarious and rapidly shifting, and, Fig. 133.— Rheumatic Torticollisin a Child 6 Years Old. whichgreatly resembled Cervical Spon-dylitis. (Sheffield.) RHEUMATISMUS ACUTUS. 419 Differentialdiagnosis. that its course is promptly and often permanently influenced bythe salicylates. Epiphysitis Syphilitica.—Develops slowly, in the first fewmonths of life—rather exceptional for rheumatism—in associa-tion with other symptoms of congenital syphilis. It runs an afebrileafebrile course and yields promptly to antisyphilitic medication. Arthritis Heredosyphilitica (Tarda).—Develops gradually,
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectchildren, bookyear191
