The early symptoms and the early treatment of osteo-arthritis : (commonly called rheumatoid arthritis) with special reference to the Bath thermal waters / by John Kent Spender.

  • Spender, John Kent.
Date:
1889
Catalogue details

Licence: Public Domain Mark

Credit: The early symptoms and the early treatment of osteo-arthritis : (commonly called rheumatoid arthritis) with special reference to the Bath thermal waters / by John Kent Spender. Source: Wellcome Collection.

Provider: This material has been provided by UCL Library Services. The original may be consulted at UCL (University College London)

    23/78 (page 11)
    The possibility of supra-renal disease being ex- cluded, we must remember the remote chances of the arsenical bronzing described by Dr. Cheadle, and of the thyroidal bronzing described by Dr. Drummond. Yellow circles are not uncommon across the finger joints, and especially around the nails of fingers and toes. The deep yellow pigmentation of far-advanced osteo-arthritis is a subject which, so far as I know, has been entirely unstudied. It is a form of what has been termed multiple xanthoma. A maiden lady, born in 1854, was sent to Bath in July, 1884. She was kindly recommended to me by Dr. Morton, of Guildford. Much crippled in all her limbs by large and immoveable joints, she was dependent in everything on the ministrations of others. This condition began in the autumn of 1878; and towards the end of 1883, when the patient had been confined to bed for eight months, although the general health was tolerably sus- tained, the plantar surfaces of the feet began to grow yellow. In September, 1884, a rash ap-