Diseases of metabolism and of Diseases of metabolism and of the blood, animal parasites, toxicology diseasesofmetabo00cabo Year: 1906 252 CHRONIC ARTICULAR RHEUMATISM gives the following statistics of his cases. In the forms beginning acutely, there were per cent, of heart murmurs and 20 per cent, of valvular disease; in cases chronic from the outset only per cent, of heart murmurs and 4 per cent, of valvular disease. Chronic nephritis of benign character and showing but slight tendency to uremia is not infrequently observed. Among other complications those affecting the eye, such
Diseases of metabolism and of Diseases of metabolism and of the blood, animal parasites, toxicology diseasesofmetabo00cabo Year: 1906 252 CHRONIC ARTICULAR RHEUMATISM gives the following statistics of his cases. In the forms beginning acutely, there were per cent, of heart murmurs and 20 per cent, of valvular disease; in cases chronic from the outset only per cent, of heart murmurs and 4 per cent, of valvular disease. Chronic nephritis of benign character and showing but slight tendency to uremia is not infrequently observed. Among other complications those affecting the eye, such as iritis, iridocy- clitis and episcleritis, and the skin (various forms of erythema, eczema, urti- caria and psoriasis) are to be mentioned. The occurrence of multiple sym- metric lipomata has frequently been observed in connection with chronic arthritis, as well as bronchial asthma, dyspepsia, hemorrhoids and numerous nervous disturbances, and this gives rise to some confusion. These affections are spoken of particularly by authors who look upon chronic arthritis as an expression of a general constitutional anomaly. Lancereaux, in 1870, divided rheumatism into two classes, of which one, ' qui ne laisse jamais des traces sur son passage ' corresponds to acute articular rheumatism; the other he said was: ' pas une maladie, mais un syndrome, Fig. 6.—Subcutaneous Nodules Situated upon the Dorsal Tendon Sheaths in a Case of Chronic Exudative Polyarthritis in a Young Girl. une manifestation d'un etat constitutionel,' ' le branche d'un grande famille pathologique,' ' herpetisme' a vasomotor trophic neurosis, expressing itself in dynamic (migraine, epistaxis, neuralgias) and material disturbances in the skin and of the tissues deficient in blood-vessels. In this group is also included the triad of diabetes, obesity, and gout. Bouchard gives a similar definition of ' arthritisme '; both authors emphasize its conspicuous family and hered-
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