A case of Addison's disease / by William Pepper.

  • Pepper William, 1843-1898.
Date:
[1885]
Catalogue details

Licence: Public Domain Mark

Credit: A case of Addison's disease / by William Pepper. 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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    By WILLIAM PEPPER, M.D., LL.I)., PROFESSOR OF MEDICINE IN THE UNIVERSITY OF PENNSYLVANIA. [Read January 7, 1885.] H. P., 27 years of age, married, with a healthy family, was born and always lived in the mountains of Pennsylvania. He worked hard, and often, when in the woods hunting or lumbering with men stronger than himself, overtaxed his strength. On one occasion he hurt his back so badly as to lay him up for a week or so. He often wrenched his back in lifting heavy articles. He drank a little whiskey, smoked a little, chewed to excess, and ate his meals rapidly, but for a man in his position his habits wrere good. He never had syphilis, and was never exposed to such depressing influences as worry and anxiety. There was no inherited family predisposition. He had the ordinary diseases of childhood, but was usually well until the age of twelve years. At that time his stomach began to trouble him, and he noted that indiscretions in diet would cause dys- pepsia, with its usual symptoms, which would disappear when the diet was regulated. As he grew older, these symptoms of dyspepsia became more frequent and troublesome, and were often associated with spells of diarrhoea and colicky pains in the abdomen. Between the attacks the bowels were regular. During the past six years his strength gradually failed, and for a year he had been unable to follow his accustomed avocation. His flesh was well preserved until six months before coming under ob- servation, within which time he had lost ten pounds. For three or four years, he had had a pain between the shoulders, which, however, was not very troublesome. During the past few months, the dys- 4