Peripheral neuritis in acute rheumatism and the relation of muscular atrophy to affections of the joints / by Judson S. Bury.

  • Bury, Judson Sykes.
Date:
1888
Catalogue details

Licence: Public Domain Mark

Credit: Peripheral neuritis in acute rheumatism and the relation of muscular atrophy to affections of the joints / by Judson S. Bury. Source: Wellcome Collection.

Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.

    11/26 (page 9)
    9] slightly swollen. The fingers -were flexed at the metacai'po-phalangeal joints, and the patient could not extend them; there werG depressions between the metacarpal bones on the back of the hand, owing to wasting of the interossei, the grooving being especially marked in the fourth space and in the first, where the muscular mass between the meta- carpal bones of the thumb and index finger felt soft and thin. The hypothenar eminence was also wasted. She could not oppose the thumb against the tip of the little finger, and ad- and ab-duction of the fingers were feebly performed. There was a slight diminution of sensibility over parts of the right hand. The left arm and hand were affected in a similar manner. Well-marked tremor of the hands and fingers was observed when they were held out, and occasionally twitching of the Fia. 2. forearm muscles was seen. The tendon reactions in the arms and lego were increased. The heart and other organs were noimal. Two days later the partial anajsthesia in right leg and hand had disappeared. On March 15th a slight systolic apex murmur was heard for the first time. On April 2nd a crop of subcutaneous nodules was found over the external condyle of the left humerus, varying in size from a pin's head to a hempseed; also one on the knuckles of the index and middle fingers of both hands. These nodules were very painful on pressure. There was still much joint pain and sweating, and the tendon reactions were again'found to be increased. The atrophy of the interossei, greater than formerly, was especially noticeable in the 1st, 3rd, and ith spaces. The