Rheumatism and gout / by F. Le Roy Satterlee.

Date:
1890
Catalogue details

Licence: Public Domain Mark

Credit: Rheumatism and gout / by F. Le Roy Satterlee. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

    51/108 (page 35)
    CHRONIC ARTICULAR RHEUMATISM DEFINITION. A sub-acute disease, chronically persistent, re- mittent or intermittent in character, directly, or re- motely supervening upon acute rheumatism, and manifesting itself by pain and certain structural dis- turbances at the site of one or more of the articula- tions. CAUSATION. Without disregard of, or disrespect to, the time- honored assertion of possible spontaneity in the origin of the disease, it will be perhaps more conven- ient to consider chronic articular rheumatism as the immediate or remote result of some sharply accen- tuated, or perhaps hardly definable, or even unre- membered, attack of acute inflammatory rheumatism. To accept the oft reiterated opinion that this affection of the joints is at times of independent origin is, per- haps, yielding to empiricism rather than reason. It would seem that either the term chronic rheumatism is a misnomer, or the condition should be admitted, without exception, as dating its causation from an acute rheumatic seizure, however mild or unappre- ciated that may have been. While the term chronic may signify protracted duration, its general medical