Case of chronic arthritis in a child : characterised by fibrous contraction of several joints and associated with some thickening of the middle of each tibia and with marked enlargement of groups of lymphatic glands / by Thomas Barlow.

  • Barlow, Thomas, Sir, 1845-1945
Date:
1889
Catalogue details

Licence: Public Domain Mark

Credit: Case of chronic arthritis in a child : characterised by fibrous contraction of several joints and associated with some thickening of the middle of each tibia and with marked enlargement of groups of lymphatic glands / by Thomas Barlow. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    Seprinied from Vol. XXII of the'Clinical Society't Transaction.'1 Case of Chronic Arthritis in a child, characterised by fibrous contraction of several joints and asso- ciated with some thickening of the middle of each^ tibia and ivith marked enlargement of groups of lymphatic glands. By Thomas Barlow, M.D. Ex- hibited May 24, 1889. ALICE A., set. Ill, was admitted to the Hospital for Sick Children, Great Ormond Street, on April 23, 1889, on account of contractions of several joints with pains in them. Family history.—Father died three years ago in Colney Hatch Asylum. He had been more or less insane for eight years; had at first symptoms very like drunkenness, delusions of grandeur, but a little before his death he became homicidal. One of his sisters suffered from St. Vitus's dance. There was no history of gout or rheumatism. Mother was also free from gout and rheumatism. She has had seven children, of whom six are living and healthy. One child, died aged nine months, from inflammation of the lungs. There have been four miscarriages alternating with the last four living children, and there has been one stillbirth. Previous history of the patient.—She was a full-term healthy infant; was weaned at sixteen months. She has had whooping-cough, measles, and chicken-pox. The last-mentioned occurred when she was five years old. No other illness of importance. History of present illness.—Twelve months ago the mother found that the child could not get up from the sitting posture without pain. The pain was greatest in the knees but sub- sequently extended to other joints. At the same time the knuckles were found to be swollen and tender. She was taken to the infirmary at Norwood and remained there one month, and after an interval was readmitted and remained there six months, but the mother says without benefit. She has got weaker and thinner, and unable to walk more than a very short distance. Her appetite is poor and she is con- stipated. Present condition.—She is a dark-haired, pale child of good mental development and free from any congenital bodily defect. She is very thin and has wasted a great deal, but the covering of her limbs, especially of the upper limbs, is tough A