Three cases of Raynaud's disease / by Thomas Barlow.

  • Barlow, Thomas, Sir, 1845-1945
Date:
[1883]
Catalogue details

Licence: Public Domain Mark

Credit: Three cases of Raynaud's disease / 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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    Reprinted from Vol. XVI df.the ‘ Clinical Society's Transactions' c\ r V r~-; rt UA, - % ^ •ll x r ' • ,• ^7/ i* = f i si Three Gases of Bay noma?s Disease. By Thomas Barlow, M.D. Bead April 27, 1883. IHAYE watched three cases which came within the category of Raynaud’s disease, but none of them so severe as that which forms the text of Dr. Southey’s paper. I will narrate them in the order of their severity, taking the mildest case first. I must apologise for the imperfection of the notes. When I saw the first and the third cases I was in the dark as to the nature of the affection. I. In October, 1882, my colleague, Dr. Poore, was good enough to show me, in the out-patient room, a little girl, set. 5, who presented an appearance at that time quite new to both of us. The whole of the right foot and ankle, and the leg for a distance of three or four inches upwards, had become within a very short time cold and of a nearly uniform greyish- blue colour. The child whimpered a little with pain in the foot, and did not like it to be handled much. Just below both elbows on the dorsal surface of the forearm there was an area of perhaps three iuches in length of ill-defined blueness and coldness. This slight blue area was more marked on the right than the left side. The first thought on looking at the foot was that there had been some arrest of arterial blood supply with subsequent venous stasis. But the child, although pale, had no cardiac disease. There was no reason for suspecting embolism into or disease of the large arterial trunks, and the smaller degree of the affection of the skin below the elbows made one willing* to suppose that the condition might be temporary, and perhaps due to spasmodic contraction of vessels. The child was admitted into the ward under Dr. Fox, and I learnt that the blueness passed away within an hour or two, and in the evening and next day the child seemed perfectly well. The day but one afterwards, about 3.30 p.m., whilst sitting