Chronic splenic anæmia and Banti's Disease / by H.D. Rolleston.

  • Rolleston, Humphry Davy, Sir, 1862-1944.
Date:
[1914?]
Catalogue details

Licence: In copyright

Credit: Chronic splenic anæmia and Banti's Disease / by H.D. Rolleston. Source: Wellcome Collection.

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    CHRONIC SPLENIC AN.EM IA AND BAN TI’S DISEASE. By H. D. ROLLESTON, M.D., F.R.C.P. Senior Physician, St. George's Hospital; Physician, Victoria Hospital for Children. CHRONIC SPLENIC ANAEMIA. Definition,—Chronic splenic anaemia presents the following characters :—(i) chronic splenomegaly which cannot be cor¬ related with any recognized cause ; (ii) absence of enlarge¬ ment of the lymphatic glands ; (iii) chlorotic anaemia, namely, with a low colour index ; (iv) absence of leucocytosis, and usually the presence of leucopenia; (v) liability to copious gastro-intestinal haemorrhages from time to time ; (vi) the prolonged course without any tendency to spontaneous cure, though splenectomy (if successful) is usually curative. Separation of splenic ancemia from Banti’s disease and other conditions.—The title Band's disease is now often used as synonymous with splenic anaemia, even by those who fully recognize that it is a sequel or terminal stage of splenic anaemia, and does not occur in all cases, even when unduly prolonged. It is true that Band2 regarded splenic anaemia as the antece¬ dent of his “ splenomegaly with cirrhosis/' and that it may therefore, be spoken of as the early stage of Band's disease ; but, surely, it is better to restrict the name Band’s disease to cases with hepatic cirrhosis as the sequel of chronic splenic anaemia, which this eminent physician2 was the first to describe ? As it seems highly desirable, and is perhaps not too late, to stereotype the nomenclature in this way, I shall confine my remarks on splenic anaemia to cases in which there is no reason to believe that the liver has become cirrhotic. As defined above, chronic splenic anaemia is distinct from the mere association of chronic splenomegaly and anaemia, especially from von Jaksch’s anaemia pseudo-leukaemica infantum. In the past the peculiar large-celled hyperplasia of the B P 14932—3