Juvenile Chronic Arthritis
This is one of the most exciting areas of medicine at the moment, and recent developments have forced us to change our views in this more than in most other areas. The foundation of these changes in attitude are soundly based on the most reliable long-term data available in rheumatology. At Taplow in England a large group of thoroughly documented children have now been followed up through three generations. This is the epitome of the best of clinical research and serves as a standard for other clinical work in this and in other fields. The eponymous term “Still’s disease” should be restricted to patients presenting with a systemic illness, lymphadenopathy, polyserositis, polyarthritis and a distinctive skin rash and should not be used as a ragbag term to conceal the need for thorough clinical documentation. This is said with all respect to George Frederick Still, who himself recognised the heterogeneity of the cases which he described.
KeywordsArthritis Aspirin Cataract Appendicitis Uveitis
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