Lead impregnation and its connection with gout and rheumatism / [J. Warburton Begbie].

  • Begbie, James Warburton, 1826-1876.
Date:
1882
Catalogue details

Licence: Public Domain Mark

Credit: Lead impregnation and its connection with gout and rheumatism / [J. Warburton Begbie]. Source: Wellcome Collection.

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    Hi an unusually distinct blue line. There is no paralysis, and no muscular atrophy. He lias never had any fits. Ordered a warm bath, and thereafter to take as follows: 9= Tincturae Opii, Tfixv. Olei Kicini, Jvj. Aquae Cinnamomi, ^ij.—M. Fiat haustus : statim sumendus. June 9th.—Bowels have been moved. Colicky pain, however, con- tinues. The draught to be repeated. Has passed forty-five onnoes of urine in the twenty-four hours. It is of normal colour, acid reaction, and of density ro22, not coagulable. 10th.—Was ordered the iodide of potassium in ten-grain doses twice daily. During the next few days the abdominal pain gradually diminished. The castor-oil was repeated daily, or on every alternate day. 16th.—Was discharged to-day at his own request, the pain in the belly having entirely oeased, but still feeling rheumatism pains. Advised to continue the use of the iodide of potassium for some time, but in smaller doses. This case, much less severe in its nature than that of W. B—, being in fact one of simple lead colic without paralysis, still illustrates equally with his the association of lead impreg- nation and gout, and I beg to remark in connection with it, that in all its particulars it may be regarded as an apt example of cases which, to the number of nearly a dozen, have fallen under my observation during the last seven years—cases of lead colic, the sufferers from which have always complained of pains either in the limbs generally or in particular joints. Lately, I have seen a young man, J. M—, house-painter by occupation, and presenting the characteristic blue gingival line, who passed, three years ago, through a very severe attack of rheumatic endo-pericarditis, specially interesting in this particular, that, although there had been much complaint of flying pains through the limbs for many weeks before the true febrile accession occurred, the inflammation first attacked the heart, and, for several days before a single joint had suffered, there were the signs of effusion into the pericardium, as well as those of implication of the mitral valve. The patient now presents the undoubted signs of mitral insufficiency, and some among the less reliable indications of an adherent pericardium. I have already observed that it is to Dr. Garrod we are indebted for pointing out the really intimate connection which