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GOUT

AND

RHEUMATIC GOUT.

(RHEUMATOID ARTHRITIS.)

BY

ALFRED BARING GARROD, M.D., F.R.S.,

Fellow of the Royal College of Physicians; Consulting Physician to King's College Hospital;
Late Professor of Therapeutics at King's College, London.

"Observez la nature, et suivez

la route qu'elle vous trace.'

J. J. ROUSSEAU.

THIRD EDITION.

THOROUGHLY REVISED AND ENLARGED.

LONDON:

LONGMANS, GREEN, & CO.

1876.

[All Rights Reserved.]

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1291 G24 1876

ΤΟ

SIR THOMAS WATSON, BART., M.D., F.R.S.,

HON. LL.D., CANTAB., HON. D.C.L., OXON.,

PHYSICIAN IN ORDINARY TO THE QUEEN.

DEAR SIR THOMAS,

SEVERAL years have passed since I had the pleasure of dedicating to you the Second Edition of the present work -years which have brought to you increased, but wellmerited honours-to me an enlarged experience. I trust that this experience has not been altogether without good influence on the changes which mark the present edition of the book, which I am most happy to be still able to dedicate

to you.

I am, dear Sir Thomas,

May, 1876.

Yours very sincerely,

A. B. GARROD.

PREFACE

TO THE THIRD EDITION.

THE fact that this work has been out of print for several years is sufficient justification for the appearance of a new edition. During the somewhat long interval which has elapsed since the publication of the Second Edition, the author has had a very extensive experience in both the diseases comprehended in the title of the work, the practical results of which he has endeavoured to incorporate in the present volume, although he has had neither space nor leisure to enter fully into many interesting details of which he possesses the records.

Of the French and German translations of the work, the author has found the former particularly valuable, and feels it incumbent on him to acknowledge his obligations to the numerous original notes appended by Dr. Charcot, of Paris, whose investigations on the subject are of European celebrity. The author has not hesitated in

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