Report of a case of hemophilia / by G.S. Towne.

  • Towne, G.S.
Date:
1910
Catalogue details

Licence: In copyright

Credit: Report of a case of hemophilia / by G.S. Towne. 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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    X-ray picture showed no evidence of clinical tuberculosis. In spite of temperature slightly above normal she was allowed to return to work and has been at work ever since. Has been apparently well and hae gained in weight. Case XI. Miss •, age 14. First seen May 13, i9°9- Complained of slight cough. On physical examination a few scattered rales heard opposite the 7th to 10th v. s. Temperature 100.2°, pulse 128. On May 15th they were practically the same. During the summer while the child was resting most of the time her temperature was normal though the pulse remained very rapid. Since September 3d it has nearly always been above xoo°, once reaching 101 1-50. The pulse has varied from 122 to 140. Examination of the chest on two occasions has shown no ab- normal signs referable to the lungs except one occasion during an acute cold scattered rhonchi were heard on both sides of the chest December 4, 1909, at the bases. On auscultation of the heart a systolic (?) murmur has been heard in the pulmonary area and occasionally at the apex not transmitted. Leucocyte count January 1910, 9000. Von Pirquet test positive. (Note.—May, 1910. Since the above report physical signs of mitral stenosis have developed in this case and a diagnosis of chronic endocarditis has been made.) Clinical and pathological ftoted Report of a Case of Hemophilia. By G. S. Towne, M. D., Read before the Medical Society of the County of Saratoga, March 29, 1910. Our knowledge of hemophilia is modern. Its historians have been able to find the records of but few cases or families prior to those of the last century. The characteristics of this disease were first classified by American physicians in the early part of the nineteenth century, and again later, during the past thirty years, Hughes, Gould, Hutchinson, Harris, Holton and Dunn have added much to the literature upon this subject. It is my purpose in this paper to summarize some of the characteristics of this disease, which have been observed by the above named authors and upon which all are practically agreed, and later to report a case which recently came under my care and incidentally gave me much anxiety. In a majority of cases the disposition is hereditary, The fault may be acquired, however, but nothing is known of the con-