Report on a case of haematophilia, or a family of bleeders / by A. Vanderveer.

  • Vander Veer, A. (Albert), 1841-1929.
Date:
1891
Catalogue details

Licence: Public Domain Mark

Credit: Report on a case of haematophilia, or a family of bleeders / by A. Vanderveer. 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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    tumor of any kind in the urinary tract. Various medicines were tried and careful attention paid to diet, also as much as possible rest was enforced. He remained under treatment for about two years, apparently better at times, and then again much worse without any known cause. He then improved and remained well up to the age of seventy, when he died without any decided well-marked disease, although he did have a slight form of what in earlier life he had had many attacks of,—i.e., painter’s colic. A post-mortem was allowed, hut no marked pathological condition was found. Much to my surprise, the kidneys appeared absolutely healthy. This patient had one brother, now living, a large, fine-looking man, good habits, carriage-trimmer by occupation, but who has always suffered more or less from epistaxis. Otherwise healthy. Mr. J. D. and wife (the latter giving a good family history) had born to them several children, and, so far as I have been able to learn, no cases of hemorrhage developed among them in childhood. Mrs. W., the eldest daughter of Mr. J. I)., at the age of twenty-four, married Mr. H. W., whose family history is clear. She became the mother of seven children, and in nearly all her confinements I was the attending physician. She had no serious post-partum hemorrhage, though the flow at times was severe. Her usual menstrual period is quite free. She has always had great fear of bleeding, and would not have a tooth extracted because of this dread. Her eldest son and daughter have had no hemorrhages; wounds have usually healed kindly. Her third child, a son, when nearly three years old, injured his tongue and soft palate by falling on a tin bean-blower. This was followed by a constant oozing of blood, and resulted in his death on the fourteenth^ day. I made local applications of various styptics, and gave ergot, gallic acid, iron, and other medicines internally, but apparently with little good. Her fourth child, a boy, when twenty months old, was suffering from teething, and in mv absence a strange physician was called in, who at once, and before the mother really knew what was going on, lanced his gums, which was followed by constant bleeding and death on the eighth day. In this case, in treatment, I saw the child a few hours after the lancing, and began a prompt, vigorous treatment, but I must franklysay it did not seem to control the hemorrhage longer than about twelve hours at a time. Her fifth child, a daughter, is quite strong and healthy at fifteeu. Sixth child, a boy. I had a serious time in controlling