Observations on rheumatoid arthritis, Heberden's nodes, Dupuytren's contraction, and some other arthritic conditions / by Sir Dyce Duckworth.

  • Duckworth, Dyce, Sir, 1840-1928.
Date:
[1899?]
Catalogue details

Licence: Public Domain Mark

Credit: Observations on rheumatoid arthritis, Heberden's nodes, Dupuytren's contraction, and some other arthritic conditions / by Sir Dyce Duckworth. Source: Wellcome Collection.

Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.

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    [Eeprinted from St. Bartholomew's Hospital Reports, Vol. XXXVJ SAINT BARTHOLOMEW'S HOSPITAL EEPORTS. OBSERVATIONS ON RHEUMATOID ARTHRITIS, HEBERDEN'S NODES, DUPUYTREN'S CONTRACTION, AND SOME OTHER ARTHRITIC CONDITIONS. BY SiK DYCE DUCKWORTH, M.D., LL.D. c It cannot be denied that while we have an accurate know- ledge of the morbid anatomy of the disorder known as rheumatoid arthritis, we are still in ignorance of its exact pathogeny. I suppose that as many theories have been sug- gested for the latter as names have been affixed to the malady. The condition is so common, and its characters so striking, and at times so urgent, that it has not failed to enlist careful study at the hands of many able physicians and surgeons. When generalised and well marked, there is seldom difficulty in making the diagnosis of the disease, but the case is very different in respect of its lesser degrees and limited mani- festations. To take but one instance, the condition recognised as Ileberden's nodes, where we find no consensus of opinion as to its pathogenic significance, some regarding it as truly gouty, despite the teaching of Heberden himself, others claiming it as rheumatoid—end-joint rheumatism. The same may be affirmed of the palmar fascial sclerosis known as Dupuytren's contraction, which is relegated to rheumatic or gouty influences according to the particular views of observers. It is surely high time that we had a little more certainty respecting these