The treatment of anaemia and chlorosis by the chief iron preparations commonly in use / by Andrew Smart.

Date:
1893
Catalogue details

Licence: Public Domain Mark

Credit: The treatment of anaemia and chlorosis by the chief iron preparations commonly in use / by Andrew Smart. 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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    Case XIV —A. H., ret. 26, admitted to Ward 30 on November 3rd, 1891, with symptomatic ansemia and secondary erythema nodo- FiG. 14. sum. Eed corpuscles were 1,590,000 per cniin., and hsemoglobin 35 per cent. Fowler's solution, 111,5 thrice daily, was given, increased to TTLIO. After fifteen days patient left hospital with 3,850,000 corpuscles per cmm. and 59 per cent, hsemoglobin. The arsenic in tliis case must be regarded as only indirectly promoting the restora- tion of the blood-cells and haemoglobin by its direct and primary effect upon the constitutional condition with which the erythema was connected, the ansemia being only a secondary sequence to it. We have, however, had many proofs that arsenic when given com- bined with the iron, co-operates beneficially in some cases in expe- diting recovery from ansemia, very probably by its improving some constitutional'defect upon which the anaemia may partly depend. Treatment :—Arsenic. Case XV.—Mrs A., set. 53, came under my observation in the autumn of 1891. Her red corpuscles were 600,000 per cmm., and Fio. 1.5. luemoglobin 10 ])er cent. The irregular shapes which character- ized the blood discs, the splenic enlargement, the lemon tint of the patient's complexion, and her general cachexy, left me in no