Quotation from: Manual of Surgery

Written by: Alexander Miles and Alexis Thomson


The joints most frequently affected are the knee, elbow, ankle, wrist,
and fingers. Usually two or more joints are affected.


Several clinical types are differentiated. (1) A _dry poly-arthritis_
met with in the joints and tendon sheaths of the wrist and hand,
formerly described as gonorrhoeal rheumatism, which in some cases is
trifling and evanescent, and in others is persistent and progressive,
and results in stiffness of the affected joints and permanent crippling
of the hand and fingers.

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