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The importance lies in the dramatic effect produced by X-ray therapy in adequate dosage to the affected joints. Of all the different conditions referred for deep therapy, I find this is the most gratifying to myself and to the patients. It behaves as a disease entity quite distinct from rheumatoid arthritis. I wish to condemn the American term "rheumatoid spondylitis", which would link the two together. Cases with multiple joint involvement are sometimes misdiagnosed as rheumatoid arthritis, and they are transformed when given deep therapy. 'On the other hand, deep therapy in rheumatoid arthritis is unspectacular, having a restricted usefulness only in selected cases, where collaboratton with a rheumatologist is essential. Because of the proved value of deep therapy every attempt should be made to diagnose all cases of Marie-Striimpell arthritis as early as possible. This would prpbably be helped by dropping the old term "ankylosing spondylitis", for it is often not ankylosing, nor is it a spondylitis. These cases should not be rested or immobilized, and gold therapy is of limited value, but otherwise the various therapeutic measures set out by Dr. Alpers should be applied to them.

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Publisher

AMPCo

Published

1951

Language

EN

Field

Social Sciences