File:Diseases of metabolism and of the blood - animal parasites, toxicology (1911) (14784271113).jpg

Identifier: diseasesofmetabo1911cabo (find matches)
Title: Diseases of metabolism and of the blood : animal parasites, toxicology
Year: 1911 (1910s)
Authors: Cabot, Richard C. (Richard Clarke), 1868-1939 Salinger, Julius L. (Julius Lincoln). Deutsche Klinik
Subjects: Constitutional diseases Metabolism Blood Parasites Poisons
Publisher: New York and London : D. Appleton and Company
Contributing Library: Yale University, Cushing/Whitney Medical Library
Digitizing Sponsor: Open Knowledge Commons and Yale University, Cushing/Whitney Medical Library

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braljoints of the twelfth pair of ribs. Anatomically the process produces changesin the ligaments of the intervertebral sheaths and of the vertebral joints invarying combinations (Schlesinger) ; the nervous disturbances are partly dueto compression of the nerve roots, partly to chronic meningitis (Bechterew).Etiologically we must consider primary and secondary chronic arthritis, arthri-tis deformans, gonorrhea, syphilis and other infections. Whether the affectionsconfined to the ligamentous apparatus and intervertebral sheaths are to beclassed as chronic arthritis may be questionable. Baumler calls attention tothe fact that stiffness of the hip-joints and lower vertebral articulations inconsequence of the patients increased weight may lead to disease of the uppervertebra?. E. 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
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Fig. 4.—Rontgen Picture Showing Heberdens Nodes upon the Index and LittleFinger, with Exostoses of the Second and Third Phalanges. 248 CHRONIC ARTICULAR RHEUMATISM muscles and those of the back. Beer, Zenner, and lately Cassirer and Senatorhave described such myogenous vertebral stiffness, some of which may bedue to hysteria and some to acute fibrous myositis. These conditions indicate that chronic rigidity of the vertebra may bedue to very different causes, but we may be certain that those forms whichoccur in connection with acute or chronic articular rheumatism or with diseaseof the joints of the extremities should be classed as chronic arthritis. 6. As the sixth and last type, I must mention those almost painless oronly temporarily painful nodes which occur in the terminal joint of the three-jointed fingers, appearing upon their posterior surface, giving them an ovalshape, hard to the touch, and gradually, from rigidity of the joint, fixing thefingers in a position of flexion or

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