Chlorosis : the special anaemia of young women its causes, pathology, and treatment being a report to the Scientific Grants Committee of the British Medical Association / by E. Lloyd Jones.

  • Jones, E. Lloyd.
Date:
1897
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Licence: Public Domain Mark

Credit: Chlorosis : the special anaemia of young women its causes, pathology, and treatment being a report to the Scientific Grants Committee of the British Medical Association / by E. Lloyd Jones. Source: Wellcome Collection.

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    of my cases of chlorosis ; but I do not think that my experience is sufficiently great to warrant my publishing the results, for through inexperience one is often deceived with regard to the microscopic appearances of blood. Hayem has dealt with this part of the subject in his excellent account of chlorosis,* and he lays special stress on the occurrence of smaller red corpuscles while recovery is taking place. The Total Volume of Blood. It would be of much value if we could estimate the total volume of blood in cases of chlorosis. I have noticed that chlorotic girls generally bleed easily and copiously, but that the contrary is often observed in chronic cases, such as those of E. B. and Mrs. G. (Charts XI. and XII.). Rubenstein,j- in a paper dealing with the salutary effects of the withdrawal of blood in cases of chlorosis, states that in his opinion the quantity of blood in circulation is increased. I am inclined to believe that this is the case in many cases of chlorosis, and such a view is consistent with my own views as to the significance of the disease. It has been maintained by some that there is in healthy women a tendency to the storing up of blood during the intermenstrual periods. If such be the case, it seems not unlikely that chlorosis may be an expression of an exaggeration of this process. The Relations between Chlorosis and other kinds of Anaemia. It appears, therefore, that chlorosis is a disease in which the blood undergoes changes of a definite kind. What * Hayem, Du Sang, 1889, p. 621. f 1 Ueber die Ursache der Heilwirkung des Aderlasses bei Chlorose,’ Wien. Med. Presse, 1893, Nos. 33 and 34.