Haemophilia : read before the New Orleans Medical and Surgical Association, May 2d, 1884 / by J.H. Bemiss.
- Bemiss, J. H. (John Harrison), 1856-1897
- Date:
- 1884
Licence: Public Domain Mark
Credit: Haemophilia : read before the New Orleans Medical and Surgical Association, May 2d, 1884 / by J.H. Bemiss. 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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![1884.] Bemiss—Hcem ofih ilia i6>q with a complexion and features exactly like her mothers. She has for years had large spots on her limbs and body, some as large as, or even larger than, her hand. A slight blow is sufficient to cause an extravasation which is very slow in leaving. Others come without any apparent cause. The first one occurred some six (6) months after her marriage and without any cause that she could recall. As a young girl she suffered from epistaxis occasionally, and now her menses are very profuse, and in her confine- ments she has flooded severely. She has had some miscarriages and at those times her flooding was alarming. Dr. W. anticipates them as much as possible by rapid delivery and the giving of ergot. Mrs. B. is at the present time in excellent health, but is neai the menopause, and it will be interesting to know if she suffers from this tendency during that period. Mrs. B. had a brother, who was a mild bleeder, if I may use the term. His severest attack was during the early part of the war, and it took the form of epistaxis and hematemesis. Otherwise he appeared healthy. Like his mother, he died very suddenly in June, 1883, and likewise of hemorrhage in some form. One brother died of consumption. Mis. B. s children, other than William, seem healthy enough, unless it be her little girl 8 years old who fre- quently bleeds at the nose and always has bruises on her limbs. Her mother thinks these are the result of her active wild disposition. The same little girl, however, had acute inflammatory rheumatism, for which Dr. W. treated her, and in which her heart became affected. The main points in this case are : 1st. The absence of the blonde type or any character- tics of thin-skinned or leuco-phlegmatic people. 2d. The strong history of heredity, and the lack of any other factor, unless malaria appears as an exciting cause. 3d- ^ he lateness of announcement of the diathesis. 4th- The commencement as purpura hemorrhage, and](https://iiif.wellcomecollection.org/image/b2242877x_0007.jp2/full/800%2C/0/default.jpg)
