On gout as a peripheral neurosis / by Willoughby Francis Wade.

Date:
1893
Catalogue details

Licence: Public Domain Mark

Credit: On gout as a peripheral neurosis / by Willoughby Francis Wade. 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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    future. As regards the pathology of neuritis much does not require to be said. In the earlier stages there are microscopical evidences of m- flammation in the neurilemma, then incipient disintegration of the medulla and finally of the axis cylinder. It may be taken that it is not in all cases of neuritis that the inflammatory process reaches to this last stage, and restoration of the nerve may be established. We find that there are two classes of change in these cases. The one affecting the protective coverings of the nerve ; the other affecting its conducting apparatus. The two classes of change give rise to two classes of symptoms. The one resembling those common to inflammatory affections, the other due to interference with, or abolition of, the functions of the nerve as a conductor of force. These vary according to the special endowments of the nerve affected. When they are of a trophic or vasomotor character, the changes are also of that character, It remains to mention one other feature of neuritis. In whatever part in the course of a nerve it