Osteoarticular manifextations of brucellosis. J. Rotes Querol. Barcelona Editorial JIMS 1959 210 pp. 60 illustrationsкод для вставкиСкачать
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‘.