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I am not quite so bad as I paint myself; say to yourself she has arthritis, she is sixty-five, and her new companion reads aloud with a twang; then you will only wonder at my moderation." Sir Wilfrid returned the letter to his pocket.

Even assuming that their special malaises are wholly offset by the effects of alcoholism in the male, they suffer patently from the same adenoids, gastritis, cholelithiasis, nephritis, tuberculosis, carcinoma, arthritis and so on in short, from the same disturbances of colloidal equilibrium that produce religion, delusions of grandeur, democracy, pyaemia, night sweats, the yearning to save humanity, and all other such distempers in men.

This connection between trauma and arthritis deformans led Arbuthnot Lane to apply to it the term traumatic or trade arthritis. The traumatic or strain factor in the production of the disease may be manifested in a less obvious fashion.

A specific polyarthritis or synovitis which attends navel infection of foals is perhaps the most frequent form of arthritis that is to be considered metastatic. This condition is truly a disease of young animals and, while it is a specific arthritis, the cause is yet to be attributed to any definite pathogenic organism with certainty.

Reference is here made to the chronic inflammations of the synovial membrane of joints, of tendon sheaths and of bursæ chronic synovitis, teno-synovitis and bursitis; of the fibrous tissues of joints chronic forms of arthritis; of the blood vessels chronic forms of endarteritis and of phlebitis and of the peripheral nerves neuritis.

Hydrops may occur apart from disease for example, in the knee-joint from repeated sprains, or when there is a loose body in the joint but is met with chiefly in the chronic forms of synovitis which result from gonorrhœa, tuberculosis, syphilis, arthritis deformans, or arthropathies of nerve origin.

It may also follow a follicular tonsillitis or some infection of the mouth or throat with or without arthritis. Tuberculosis may also occasionally cause an endocarditis. Organisms may be found in a terminal simple endocarditis due to a chronic disease, as tuberculosis or cancer; such inflammations may have been caused by circulating toxins.

This is liable to be mistaken for rheumatic fever, from which, however, it differs in that there is no real migration from joint to joint; there is an absence of sweating and of cardiac complications; and no benefit follows the administration of salicylates. In exceptional cases, tuberculous joint disease follows an acute course resembling that of the pyogenic arthritis of infants.

When union of bone occurs, there results shortening of the leg and animals are rendered permanently lame. If the immediate region of the head of the bone is involved as well as in case of fracture of the condyles, an incurable arthritis ensues. Where the trochanters are broken, chronic lameness and muscular atrophy is the result.

The knees are the joints most frequently affected, and the condition usually yields readily to anti-syphilitic treatment without impairment of function. #Gout.# Arthritis Urica.