The rheumatic diseases (so called) : with original suggestions for more clearly defining them / by Hugh Lane and Charles T. Griffiths.

Date:
1890
Catalogue details

Licence: Public Domain Mark

Credit: The rheumatic diseases (so called) : with original suggestions for more clearly defining them / by Hugh Lane and Charles T. Griffiths. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    mischief supervenes, the articular affection is that betvveen the tarsal bones, whether or not other joints are affected. Seamstresses, who use their fingers much, find themselves crippled in the hands first. Cooks, who are constantly lifting pots, &c., off fires, find the wrists going principally. Another class of cases we will place under this heading, and which gives much trouble, includes those which for the want of a better name we would call neuralgia. Patients are quite clear about the acute rheumatism; they are quite clear as to what joints were affected at that time; they say they got perfectly well, with the excej)tion of the pains for which they now seek advice. Most of them are females. Bearing in mind that they are more or less debilitated after an acute attack, and the whole systemic tone lowered, it appears that there is often a considerable element of hysteria in these cases. They nearly always give a most unsatisfactory description of the rheumatic pains, not being able to say definitely where they are situated, especially if the pain be thoracic or abdominal. True, it may be that the neui-algia which follows from the intercostals being affected