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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    impoverishment resulted, not necessarily in consequence of the active destruction of corpuscles, but through defect of the gastric processes to provide suEBcient and suitable material indispensable for their normal construction. To test the correctness ot this supposition, I selected a case of grave chlorosis, in which there was complete absence of free hydrochloric acid in the stomach, and which I treated with hydrochloric acid for a period of forty-two days as the sole therapeutical remedy, the patient receiving 100 minims daily of the dilute acid. The results of this treatment as shown in the progress of the case, demonstrates conclusively that while the red corpuscles slowly tended to recover their normal numbers, the hemoglobin remained stationary until iron was given This result is entirely opposed to the statement of Zander, as cited by Bunge, to the effect that hydrochloric acid is a more effectual remedy for chlorosis than iron.^ Case I.—J. I., »t. 17, a shop girl, admitted to Ward 30, May 9th, 1892, suffering from chlorosis. There was no evident decrease in the number of red corpuscles, which were about 5,000,000 per cmm. Hajmoglobin was down to 40 per cent. Blood-cells were smaller than normal, and defective in form. The corpuscles remained almost stationary, and the haemoglobin steadily rose to 86 per cent. This deviation from the usual course is characteristic of the chlorotic type of ansemia. TiiKATumT:—Sulphate of Iron, with special diet, Port Wme, and Maltine.—The slow recovery of the htemoglobin was peculiar to chlorosis, and treatment was prolonged to forty days. lEnHH May 9th, „ 28th, June 7th, „ 13th, 22nd, FlG.l. Progress. II C 5,110,000 6,810,000 5,240,000 5,780,000 5,270,000 Hb.o. 40 per cent. 64 „ 70 „ 80 „ 86 „ 1 Buage, Text-Book of Pliijsiological and Pathological Glwnistry (English translation), 1890.
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