This is a retrospective and follow-up study of 110 patients with juvenile rheumatoid arthritis under observation in various clinics of the Columbia-Presbyterian Medical Center, New York, for almost 30 years. The description of disease progress is based upon measurements made at two specific intervals—the first visit and the final follow-up examination conducted in 1956-1959. Information, available in the hospital record and upon personal interviews, was also obtained. In all instances, disease onset was before the age of 14. The average follow-up intervals was 9.3 years. Study of a properly matched group of control children was not feasible. In reviewing the ensuing material, we have chosen to emphasize the noteworthy features; in closing, we shall offer some constructive critical comments.
A direct, succinct, and generally lucid style characterizes this short monograph. The tables, charts, and illustrations are clear; the reproductions of x-rays are unusually fine. An interesting and well-written description of