Until specific diagnostic tests become available, the study of the syndrome variously called "juvenile rheumatoid arthritis," "rheumatoid disease," or "Still's disease" will depend upon clinical reports. The authors of this book, all internists or radiologists, have described in general terms their experience with this syndrome. They have recognized that their patients have been selected and may not represent the general population of patients with juvenile rheumatoid arthritis. Since so much of the interpretation of any clinical syndrome depends upon description, it seems unfortunate that details of the case material were omitted. No details concerning the age groups of the patients involved, the description of the spontaneous remissions and their duration, incidence of complications, or other specific information desired by the clinician are available either in charts or tables.
The discussion of the pathologic and biochemical alterations in this syndrome is clear. Recent studies, involving new techniques with the rheumatoid factor,