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.

    97/206 (page 91)
    explanation did not appear to satisfy the members of the Anatomical Society. M. Broca drew attention to the absence of vascnlar lésions, and expressed the opinion that in this case the gangrené was related to some unknown cause, perhaps to an alteration of the hlood. The epileptic antécédents of the patient ought to enter into account. VI. Appendix.—Doubtful Cases. The cases which follow présent less and less certainty. Never- theless they are interesting as a group, because they are in a marked degree removed from what occurs in the common cases, and because they may perhaps one day contribute to clear up many obscure points. It is not impossible that we may hâve here a very advanced form of the malady which occupies our attention. Case XX.* — Gangrené occm-ring each month in a young woman, aged 23 years, at the extremities of the Jingers, ears, Hose, dce. In 1629, travelling with my brother, Jean Schrader, and Alexander Lak, whilst studying surgery, we found ourselves in a town called Geest, and having entered a hostelry the master, who was called Jean Brandes, made us see his daughter, aged 23 years, who was attacked with the following malady : each month she suffered from severe pains in the extremities of the Angers and of the toes, accompanied by œdematous swelling of the face, feet, and hands ; this was followed by sphacelus or mortification of the extremities of those parts in which the pain was first felt, which became pale, dry, insensitive, nevertheless with no bad smell, and with no humour proceeding from them. These gangrenous parts separated each month in small morsels, which preserved their normal form. Whilst informing me more particularly of the circumstances of this illness, the father of the girl showed me a box in which there were more than a hundred of these morsels of dead flesh, which in the space of three years had been thrown off and detached from the extremities of difiTerent parts of the body of this girl. * By Bernard Schrader, Collection académique partie étrangère, T. iii., p. 238, Eph. cur. nat., 1773—^74.