. A manual of electro-static modes of application, therapeutics, radiography, and radiotherapy . cribed to the writers knowledge. To rheumatoid arthritis belong all cases characterized bythe presence of an anaemic and depleted condition arisingin most cases from some other traceable cause. The joint proc-ess is well defined and easily differentiated, beginning with aslight pain in one or more joints which will be in most cases inthe middle phalangeal joint of the finger. In some cases thispain is ushered in with great severity. A swelling soon ap-pears in the affected joint and other joints gr


. A manual of electro-static modes of application, therapeutics, radiography, and radiotherapy . cribed to the writers knowledge. To rheumatoid arthritis belong all cases characterized bythe presence of an anaemic and depleted condition arisingin most cases from some other traceable cause. The joint proc-ess is well defined and easily differentiated, beginning with aslight pain in one or more joints which will be in most cases inthe middle phalangeal joint of the finger. In some cases thispain is ushered in with great severity. A swelling soon ap-pears in the affected joint and other joints gradually becomeinvolved. The destructive process once begun, it has beenrarely known in unmolested cases to stop until the joint ispermanently destroyed and anchylosed. The degree of destruction and deformity varies from fixedflexion with absorption of all the cartilaginous structures of the 84 STATIC ELECTRICITY. joint, to destruction of the articular ends of the bone as wellin severe cases. ( See Fig. 36.) The suffering and deformityare more marked and the progress more rapid, than with the. Fig. 36. other conditions with which rheumatoid arthritis has beenconfused. The changes in the bone which take place in rheumatoidarthritis in children are quite remarkable as is shown in the ac-companying skiagraph, Fig. 37. It will be noticed that thejoint between the metacarpal and the first phalanx of eachhand is disarticulated and that all the phalanges and metacarpalbones are wider than normal. The latter condition, we believe,takes place in all cases of rheumatoid arthritis in young chil-dren. Once established the disease may involve many or all of thejoints of the body. It is characteristic of no age or sex; young children are THERAPEUTICS OF INFLAMMATORY CONDITIONS. 85 affected and it may also commence in the aged. It is far morecommon, however, with women during active menstrual case shown in Fig. 38 is that of a child seven years case was reported at the meetin


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