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Osteoarticular manifextations of brucellosis. J. Rotes Querol. Barcelona Editorial JIMS 1959 210 pp. 60 illustrations

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BOOK REVIEWS
TRANSACTIONS,
CONFERENCE
ON THE COMPARATIVE
PATHOLOGY
OF ARTHRITIS AND RHEUMATISM. Reprinted from Laboratoly Investigation. New York. Paul R. Hoeber, 1980.
350 pages, 148 illustrations, 20 graphs and charts, $3.00.’
This is a collective volume of essays by 30 authors from the United States, Great Britain,
Sweden, and Denmark representing human and veterinary medical sciences at a Symposium
convoked on February 5 and 6, 19S9, at The National Institutes of Health, Bethesda, Md.,
iinder the sponsorship of the American Rheumatism Association, the Arthritis and Rheumatism Foundation, and The National Institute of Arthritis and Metabolic Diseases. The Conference Committee consisted of Leon Sokoloff, William S. Clark, Ronald W. LamontHavers, William D. Robinson, John H. Rust, and Conrad L. Pirani.
The material consists chiefly of individual reports on diseases in farm and laboratory
animals affecting articulations and comprising degeneratve, traumatic, infectious ( including
possibly hyperergic ), and metabolic mechanisms. The sections on PPLO infections and
erysipelothrix and on avian gout are extensively covered and well documented. The work
comes closest to the achievement of a comparative rheumatic pathology in the papers and
discussions of degenerative arthritis and osteoarthritis, with an outstanding review of their
kinetics in peripheral joints and a separate study of discogenic diseases in animals. Otherwise, human arthritis is treated parenthetically.
The emphasis on rheumatic diseases in experimental animals, livestock, and domestic
and wild species makes this work a unique and stimulating source of current knowledge
from diverse fields and an important guide to future investigation in rheumatology. Topics
of specialized interest are myopathies, various types of arteritis, hypertrophic pulmonary
osteoarthropathy, and hemophilic arthropathy.
Illustrations are abundant and nicely reproduced, the print is excellent, and the references are ample although the classic studies by Axhausen, J. Albert Key, Weichselbaum,
and Fick apparently need to be rediscovered.
A conference and a publication of this kind presage, one hopes, an extension of what is
evidently auspicious interdisciplinary collaboration.--Ihw Wairw.
OSTEOARTICULAR
MANIFEXTATIONS
OF BRUCEI.I.OSIS.
J . Rote.$ (herol. Barcelona, Editorial
JIMS, 1959, 210 pp., 60 illustrations.
“To complete previously published study and to add statistical and pathological information”-the
author states-are purposes of this monograph. Disease due to brucellosis
melitensis, the “only one identified in human infections in Spain,” is the subject. Microscopic
examination was performed in three spines and in two soft tissue biopsies.
The volume comprises ten chapters. Chapter I refers to history of the knowledge of brucellar, osseous, and articular lesions. Chapter I1 is dedicated to clinical material: 174 consecutive cases of brucellosis (melitensis), admitted between 1927 and 1955, whether they had
or not symptoms referable to their locomotor systems, are reviewed. Diagnoses were based
on clinical and laboratory examinations. All patients suffered from or had had acute brucellosis. Eighty-five per cent of all cases had some manifestation referable to their locomotor
systems, from aches to destructive lesions. Male locomotor systems-particularly the spine
-were more frequently involved than female.
Chapter I11 is dedicated to soft tissue localizations. Peripheral joint involvement is the
subject of Chapter IV. Manifestations ranging from joint pain (30 per cent) to destructive
arthritis ( 4 per cent) were observed in one half of all cases. The author believes brucellosis,
R.A., and D.J.D. are independent diseases.
OMay be: ordered from the Arthritis and Rheumatism Foundation, 10 Columbus Circle,
New York 19, New York.
320
321
BOOK REVIEWS
In Chapter V, the author deals with sacroiliac involvement ( 37 per cent ) . Spondylitis is
the subject of Chapter VI (53 per cent); all of these patients had symptoms consistent with
acute brucellosis. X-ray changes are described and illustrated. Chapter VII is dedicated to
the pathology and pathogenesis of brucellar spondylitis. Ohservations on necropsy material
from four patients are reported. Some good photomicrographs accompany the text. The
author thinks the spine may be involved through pelvivertebral veins. He believes there is
no etiologic relationship between ankylosing spondylitis and brucellar spondylitis, although
“there could be some common mechanism.”
Three cases of extraspinal osteomyelitis are reported in Chapter VIII.
Chapter IX is dedicated to diagnosis. “Acute spondylitis, sacroiliac or hip involvement,
in Spain, must always suggest brucellosis, before anything else.”
According to the author, X-ray examinations are helpful; but “the disease itself” may
give more important clues to the diagnosis; laboratory data are of utmost diagnostic value,
such as blood culture, serum agglutination, complement fixation, incomplete antibodies,
and skin test. Because the period of observation goes as far back as 1927, some of the tests
did not yield positive results as frequently as they do now.
The last chapter of this monograph is dedicated to treatment of the disease as well as of
the involved bones and joints. The author recommends terramycin or aureomycin followed,
if need be, by I.V. vaccine. He considers former local treatments to have been largely
displaced by effective general measures.
Two hundred and sixty-five references cover the last pages of this volume.
This monograph is a good source of information for Spanish-reading physicians. The
subject is unfolded in didactic fashion; illustrations, in general, are good, although some
X-ray reproductions are not quite clear and some footnotes lack specificity. Summaries in
Spanish and English are placed at the end of each chapter. The English translations contain
a fair number of errors and sometimes are not literal. Some mistakes are to b e found in the
reference list.-Pedro M. Catoggio.
PHYSICALDISABILITY-A PSYCHOLOGICAL
APPROACH. Beutricc Wright, Ph.D. New York,
Harper I%Bros., 1960 xx
+ 408 pp., no illnstrations, $6.00.
Long. a leader among students of the “somatopsychological relation” which has been defined as . . those variations in physique that affect the psychological situation of a person
by influencing ,the effectiveness of his body as a tool for actions or by serving as a stimulus
to himself or others,” Beatrice Wright not surprisingly has produced an excellent and stimulating volume. The earlier sections of the book deal mainly with a discussion of the underlying philosophy governing the behavior patterns of both the disabled and their able-bodied
associates in the family constellation and the milieu at large.
Many basic problems are dealt with in this section. For example Wright ably discusses
and develops the matter of status position and presents a broad sampling of opinions regarding the pros and cons of the similarities between the disabled and various other minorities,
with particular legard to public attitudes, “As if” behavior, and the “normal” ideal.
Similarly, “Frustration and Uncertainty” are discussed in such a manner as to call attention to the variance between the “common-sense ideas regarding the greater frequency
of frustration in the disabled than among the able-bodied, and the concept that frustration
is more or less universally judged to be a negative experience. Wright clearly points up the
fallacies in both these concepts by showing that neither is supported by scientific observation.
Later portions of the book are concerned to a somewhat greater extent with the clinical
aspects bf disability. This is dealt with not alone from the standpoint of problems peculiar
to the disabled individual but also with considerable appreciation of the psychological experiences and reactions of the family and the community to the disabled person. The
author makes crystal clear the basis for our concern not only with the rehabilitation of an
individual who must learn to value and to accept himself in terms of his basic potential
for self-fulfillment, but also with the need for parents, spouses, friends and the social milieu
I‘.
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brucellosis, editorial, osteoarticular, illustration, querol, 210, 1959, manifextations, roten, jims, barcelona
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