Diseases of metabolism and of Diseases of metabolism and of the blood, animal parasites, toxicology diseasesofmetabo00cabo Year: 1906 CHRONIC ARTICULAR RHEUMATISM 247 abdominal muscles; Clarke described a disease confined to the costovertebral joints of the twelfth pair of ribs. Anatomically the process produces changes in the ligaments of the intervertebral sheaths and of the vertebral joints in varying combinations (Schlesinger) ; the nervous disturbances are partly due to compression of the nerve roots, partly to chronic meningitis (Bechterew). Etiological we must consider primary and sec
Diseases of metabolism and of Diseases of metabolism and of the blood, animal parasites, toxicology diseasesofmetabo00cabo Year: 1906 CHRONIC ARTICULAR RHEUMATISM 247 abdominal muscles; Clarke described a disease confined to the costovertebral joints of the twelfth pair of ribs. Anatomically the process produces changes in the ligaments of the intervertebral sheaths and of the vertebral joints in varying combinations (Schlesinger) ; the nervous disturbances are partly due to compression of the nerve roots, partly to chronic meningitis (Bechterew). Etiological we must consider primary and secondary chronic arthritis, arthri- tis deformans, gonorrhea, syphilis and other infections. Whether the affections confined to the ligamentous apparatus and intervertebral sheaths are to be classed as chronic arthritis may be questionable. Bäumler calls attention to the fact that stiffness of the hip-joints and lower vertebral articulations in consequence of the patient's increased weight may lead to disease of the upper vertebra1. R. Bennecke lays stress upon the action of frequent, though insig- nificant, trauma upon the vertebral sheaths and bony structures. In conclu- sion, similar clinical pictures are presented by contracture of the lumbar Fio. 4. Röntgen P u Showing Heberden's Nodes upon ran Km \- wn Littlh Finger, wnii Exostoses 01 mm Second lnd Chird Phalanges.
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