Classic Papers in Rheumatology by Paul Dieppe, Frank A. Wollheim, H. Ralph Schumacher

By Paul Dieppe, Frank A. Wollheim, H. Ralph Schumacher

Whereas an emphasis at the new is essential to any technological know-how, the relevance or significance of latest discoveries can't actually be preferred and not using a robust feel of the framework of a self-discipline, and of the guidelines that helped to form it. With this in brain, the editors of this e-book have tried to create a canon of texts that shaped the root of rheumatology. specialists at the analysis and administration of many of the rheumatological stipulations have selected what they think about to be the most important papers of their respective domain names. each paper is punctiliously defined and evaluated by means of its strengths, its weaknesses, and its contribution to the sphere. Papers were selected that outline new ailments or remedies, that experience replaced our complete state of mind, or that experience easily stood the try out of time. The editors desire that the papers profiled during this quantity will stimulate debate, motivate readers to find the unique texts, and encourage the writers of the classics of the twenty first century.

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The most neglected differential diagnostic test in arthritis. Arthritis and Rheumatism 1960; 3:364–367. Kling DH. The Synovial membrane and Synovial Fluid. Los Angeles Medical Press, 1938. Ropes MW, Bauer W. Synovial fluid changes in joint disease. Harvard University Press, 1953. Hollander JL. In: Textbook of Rheumatology. Key message Synovial fluid examination is a very important aid to the diagnosis of the different forms of arthritis. Why it’s important The monograph of Ropes and Bauer (3) is the most important contribution to this field, as it documents synovial fluid findings in health as well as disease, and provides a comprehensive overview of preceding literature as well as the extensive work of the authors.

Urate crystals were also identified by ordinary light microscopy in 11 of the same 18 synovial fluid samples. Comparison of the results of ordinary light microscopy with those seen by polariscopic observation revealed that the percentage positive identification was greater when the latter method was used. In two instances, crystals were seen by ordinary light which did not have the characteristics of urate crystals. One of these was from an otherwise typical case of acute gouty arthritis. The concentration of urate in the synovial fluid during the acute attack is probably higher than that found in the serum.

25 26 Paper 5 Rheumatoid arthritis with death from medullary compression Authors Davis FW Jr, Markley H Reference Annals of Internal Medicine 1951; 35:451–454 Summary A 58-year old woman with a 25 year history of classical RA and confined to a wheel chair for 6 years was admitted to hospital because of dyspnoea. Three months prior to admission she had been treated for an upper respiratory infection with dysphagia and stridor. A laryngoscopy revealed limitated abduction of the vocal cords. Her neck was unduly short.

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