Licence: In copyright
Credit: Clinical essays and lectures / by Howard Marsh. Source: Wellcome Collection.
Provider: This material has been provided by UCL Library Services. The original may be consulted at UCL (University College London)
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![HEMOPHILIA IMITATING TUBERCU- LOUS JOINT DISEASE. HEMOPHILIA]s often regarded as lying in the border- land between medicine and surgery; but it is more correct to say that while some of its forms, as they involve internal organs, are wholly medical, others, as for example those which follow accidental wounds or surgical operations, are altogether surgical. Those also are surgical which involve such an organ as the urinary bladder, and such parts as the deep inter- muscular spaces of the limbs, and especially the joints. And this is the case not only as to treatment when the affection has been recognised, but also from the point of view of diagnosis. For examples sometimes occur in which the surgeon, having mistaken haemophilia for some other condition, adopts a method of treatment which is followed by disastrous results. The two following cases are of considerable im- portance as showing that hsemophilia may produce symptoms which are practically identical with tuber- culous disease of a joint. In such instances, as there may be no known history of haemophilia, and, at the time, no other manifestations of this affection, the surgeon, by some operation which his belief that he is dealing with tuberculous disease leads him to](https://iiif.wellcomecollection.org/image/b21290714_0288.jp2/full/800%2C/0/default.jpg)
