Authors: ROBERT B OSGOOD ROBERT SOUTTER HARRY C LOW MURRAY S DANFORTH C HERMANN BUCHOLZ LLOYD T BROWN PHILIP D WILSON
Publish Date: 1921/07/01
Volume: 3, Issue: 1, Pages: 181-229
Abstract
TUBERCULOSIS Tuberculous Rheumatism—Duvernay1 states that while the existence of the tuberculous rheumatism of Poncet is generally recognized there are many erroneous conceptions concerning its pathology and treatment He believes that the joint symptoms represent an antitoxic or reactional phenomenon and that there is no evidence to suggest the presence of the Koch bacillus in the joints affected When the toxic substances are abundant tuberculous rheumatism seldom appears He considers it a symptom of convalescence when the organism is defending itself and the antibodies are very abundant This conception has important bearing on rational treatment and Duvernays recommendations are that the local therapy should be the therapy of any nontuberculous arthritis viz warmth and immobilization in the acute stage but mobilization and massage as early as possible to avoid atrophy and ankylosisEd Note—Our experience with true tuberculous rheumatism has been slight but in certain rather typical and apparently
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