Practical remarks on gout, rheumatic fever, and chronic rheumatism of the joints : being the substance of the Croonian lectures for the present year, delivered at the College of Physicians / by Robert Bentley Todd.

  • Robert Bentley Todd
Date:
1843
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Licence: Public Domain Mark

Credit: Practical remarks on gout, rheumatic fever, and chronic rheumatism of the joints : being the substance of the Croonian lectures for the present year, delivered at the College of Physicians / by Robert Bentley Todd. Source: Wellcome Collection.

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

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    2. The articular affection is less fleeting than in rheumatic fever, ancl does not attack so many joints at a time. 3. It occasions distortions of the small joints of the hand and foot: (it differs, however, from the disease described by Dr. Haygarth, under the title of nodosity of the joints*.) 4. The surface of the articular cartilages is sometimes sprinkled over with a white powder, which was found by Dr. Chambers to be car- bonate of lime, and by Dr. Macleod to be lithate of soda, both of which deposits take place in gout, but never in true rheumatic fever. 5. The disease is apt to recur as gout does, that is, very frequently, the later attacks being worse than the earlier ones. 6. It is very amenable to colchicum, which exerts its influence upon it just as upon gout. 7. “ It has very little [qu. no] disposition to implicate the heart.” These particulars, coinciding, as they do, so strikingly with the natural history of gout, appear to me to denote clearly that the disease in question has, at least, more of the gouty than of the rheumatic character. I admit, however, that the fibrous system * See the section on Chronic Rheumatism of the Joints.