. The diseases of children : medical and surgical. nic rheumatic arthritis well marked, which sub-sequently became an ordinary pulpy knee, just as occurs in adults ; the twoconditions may be seen co-existing in one joint. Case.—Chronic Rheumatic Arthritis.—Mary Jane E., age 13 years ; admitted Feb-ruary 25, 1884. No rheumatic or gouty history. Duration since August 1882, when shehad pains in her shoulders, which subsided in a week. Nine months ago had pain in lefthip, which lasted four months ; then the left knee was attacked ; both were swollen ;no other joint affected ; pains worse in wet we
. The diseases of children : medical and surgical. nic rheumatic arthritis well marked, which sub-sequently became an ordinary pulpy knee, just as occurs in adults ; the twoconditions may be seen co-existing in one joint. Case.—Chronic Rheumatic Arthritis.—Mary Jane E., age 13 years ; admitted Feb-ruary 25, 1884. No rheumatic or gouty history. Duration since August 1882, when shehad pains in her shoulders, which subsided in a week. Nine months ago had pain in lefthip, which lasted four months ; then the left knee was attacked ; both were swollen ;no other joint affected ; pains worse in wet weather ; not increased in bed ; sweats a gooddeal at nights ; urine often contains red lithates. On admission, well nourished; slighteczema of face ; heart sounds normal; right knee a little swollen ; no crackling or thicken-ing ; no osteophytes. Left knee, thickened synovial fringes ; well-marked crackling; edgesof both condyles distinctly lipped. Her condition improved with blistering and iodide ofpotassium, and she was sent out on March Fig. 147.—Congenital Syphilitic Synovitis of both Wrists. Syphilitic Synovitis is occasionally met with ; we have, however, onlyseen a few cases of pure synovitis in the first few months of life in congeni-tally syphilitic children ; the most common condition is syphilitic subacute recurrent syphilitic synovitis occurring in older children is met 6/0 Diseases of the Joints with ; it sometimes rapidly subsides under antisyphilitic treatment, as in thefollowing instance ; but this is not always the case—it is sometimes ratherintractable. Case.—Syphilitic Synovitis of —Jane B., age S years 3 months ; admitted Octo-ber 31, 1882. A history of syphilis in the brothers and sisters, of whom there have beentwelve, seven being dead ; patient herself had always been hearty ; two years ago the leftknee swelled without known cause, but recovered completely in fourteen days ; the eyeshad been bad since May 1882 ; the righ
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