On local asphyxia and symmetrical gangrene of the extremities / by Maurice Raynaud ; translated by Thomas Barlow.

  • Raynaud, Maurice R., 1834-1881.
Date:
1888
Catalogue details

Licence: Public Domain Mark

Credit: On local asphyxia and symmetrical gangrene of the extremities / by Maurice Raynaud ; translated by Thomas Barlow. Source: Wellcome Collection.

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    tlie skin of the face presented a sligbtly bluish and transparent tint. I found ber in the middle of an attack of cyanosis which had lasted for two bours ; the puise was quite perceptible ; the skin of the bands was very cold, and of a violet tint. The attacks recur now in the feet and in the bands five or six times a day witbout any periodicity ; nevertbeless in the moments of remission sbe can hold and bandle a needle, which she could iiot do formerly ; she does much work in the bouse. Good appetite ; sometimes pains in the four extremities ; nevertbeless these pains do not attract ber attention much, she bas become habituated to them ; she cannot say whether the improvement, of which she is conscious, bas coincided with the return of the catamenia or not. I call attention to the pale colour which the hands presented at first, and in like manner at a subséquent period the feet also, before they assumed the bluish black tint. This colour, much more pronounced than the ^mle yellow of anæmia, is not a fact witbout precedents. Already Broussais had drawn attention to the intense yellow tint which cholcraic patients sometimes présent whose limbs in their external aspect assuredly show a great re- semblance to the state which we are now considering. Furthermore, we see in this case in a very trenchant manner a remarkable coincidence between the affection of the extremities and suppression of the cataménial flux. I bring into contiguity with this case the following one, which is almost similar to it. I reproduce the title as it is given in the original ; but it evidently describes very inadequately what the author wished to express. Case VI.*—Cyanosis appearing instantaneously on partsexposed to the cold, ceasing iinder the influence of heat ; re-estallishment of the normal colour along the course of the arUries ; no symptom of heart lésion. Rose G., washerwoman, aged 28 years, with faii skin and bright complexion, enjoyed habitually good health. Her puise is small, feeble, and slow (65 to the minute). She bas never had either palpitation, or oppression, or cough ; she bas never felt pains in the chest. She had always menstruafed regularly up to the last three months, during which the catamenia had notably diminished. ♦ By Dr. Marchand, Journal des Connaissances médicales de liantes, 1837. I