Nine cases of Graves' disease : ophthalmoplegia, remarks on the lid-symptoms / by Arthur Maude.

  • Maude, Arthur.
Date:
[1891]
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Licence: Public Domain Mark

Credit: Nine cases of Graves' disease : ophthalmoplegia, remarks on the lid-symptoms / by Arthur Maude. 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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    [Reprinted from St. Bartholomew’s Hospital Reports, Vol. XXVII ] NINE CASES OF GRAVES’ DISEASE: OPHTHALMOPLEGIA: REMARKS ON THE LID-SYMPTOMS. BY ARTHUR MAUDE. These cases presented themselves in my practice during the last two years. Some of them I have had under observation for some years, an advantage rarely enjoyed by consulting and Hospital physicians. Case I. (simple “fruste”1 case).—July 1890, born 1869, housemaid ; has had rheumatic fever three times, last time when seventeen years old. Has been anaemic some years, but has felt no inconvenience till last few weeks, when she has had much palpitation and short breath. Has lost flesh. She is very chlorotic, very thin, and short of breath. Heart, very heaving irregular impulse, distinct hypertrophy. Pulse 100, irregular. Faint basic murmur, most marked over pulmonary area. Menses regular. Constipation constant. Slight proptosis. Grades sign not present. Distinct uniform goitre. Given iron, arsenic, and digitalis; improved rapidly. In March 1891 continues well. There were no other signs; no trembling, sickness, diarrhoea, or psychical changes. Case II.—Miss C., born 1870, Board school-mistress. In the spring of 1890 she had epidemic influenza, and has been ever since in a state of great nervous depression, almost melancholic at times. Soon after the influenza she noticed swelling of the neck. This subsided, and by Christmas 1890 it had almost gone. A few weeks after it reappeared, and in March 1891 it increased rapidly. There has been much palpitation all along, 1 An expression properly meaning “defaced” (of coins), used by French writers of undeveloped cases of Graves’ disease.