Abstract

To the Editor.— unfortunate choice of the title The Safety of Treating Rheumatoid Arthritis With Aspirin in the editorial by Eric P. Gall, MD, published inThe Journal(1982;247:63) no doubt contributed to confused, wide media coverage, which interpreted aspirin in a high-dosage regimen as a safe drug of first choice in treating most patients with rheumatoid arthritis. While this bias may at one time, indeed, have been acceptable, it is now subject to serious challenge, as almost 100 new alternative nonsteroidal anti-inflammatory and nonacetylated salicylate agents are compared with aspirin. None are necessarily superior in anti-inflammatory effect to aspirin when aspirin is taken appropriately at high-dose anti-inflammatory levels. All are consistently less toxic to the upper gastrointestinal (GI) tract, however. 1 Acid peptic complications are the most common and troublesome problems of anti-inflammatory therapy. I have recently reported on 137 patients with rheumatoid arthritis and osteoarthritis who had

Highlights

  • On Saturday, May 21st, 1892, with the usual signs of rejoicing, the Bath Royal Mineral Water Hospital arthritis

  • Few of our provincial hospitals can claim a record extending over a century and a half, a record of 150 years of useful work, and of benefit to the afflicted among mankind. It is on occasions like this, occasions that mark the lapse of time, and that stand out as mile-stones on the road of centuries, that it is well for us to pause and to review the work that is being done at institutions such as this, in order that we may assure ourselves that the trust, which has been bequeathed to us by our forefathers, is being faithfully administered. It is with this object in view that we ask the readers' attention to the following short account of one branch, among many others, of the good work that is being done at the Royal Mineral Water Hospital, namely, with regard to the treatment carried out there of rheumatoid state go to the Mineral "Water Hospital under the impression that they will he cured, only, to suffer disappointment when the disillusion conies

  • Impossible in an article like the present to give any description of rheumatoid arthritis, or to enter into a discussion as to its nature, nor is it our desire to do so

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Summary

Introduction

On Saturday, May 21st, 1892, with the usual signs of rejoicing, the Bath Royal Mineral Water Hospital arthritis. It is with this object in view that we ask the readers' attention to the following short account of one branch, among many others, of the good work that is being done at the Royal Mineral Water Hospital, namely, with regard to the treatment carried out there of rheumatoid state go to the Mineral "Water Hospital under the impression that they will he cured, only, to suffer disappointment when the disillusion conies.

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