Monthly retrospect of the medical sciences : January to December 1849 / edited by George E. Day, Alexander Fleming, W.T. Gairdner.
- Date:
- MDCCCXLIX [1849]
Licence: Public Domain Mark
Credit: Monthly retrospect of the medical sciences : January to December 1849 / edited by George E. Day, Alexander Fleming, W.T. Gairdner. Source: Wellcome Collection.
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![1849.] thephenomenon. Hementions having been once summoned to a healthy man, fifty years of age, who, for a period of twelve hours in succession, had travelled on foot: during the journey he had perspired much in his feet; and, on examining them at the end of it, they were found covered as high ^ the anUes with a sanguineous perspiration, which had also soaked into and stained his stockings. In another case of a healthy young man, Dr S. men¬ tions having noticed that, after a violent exercise, the perspiration beneath the arms was of a bright red colour ; and he quotes a similar case from Hoffman. In proof that the perspiration over the whole body may also be of a sanguineous character, he mentions one case in which it had been observed in a delicate man after copulation, and then quotes the fol¬ lowing still more remarkable case from Paulini. While surgeon on board a ves¬ sel, a violent storm arose, and threatened immediate destruction to all. One of the sailors, a healthy Dane, thirty years of age, of fair complexion and light hair, was so terrified that he fell speechless on the deck. On going to him Paulini observed large drops of perspiration of a bright red colour on his face. At first he imagined the blood came from the nose, or that the man had injured himself by falling; but, on wiping off the red drops from the face, he was astonished to see fresh ones start up in their place. This coloured perspir¬ ation oozed out from different parts'of the forehead, cheeks, and chin ; but it was not confined to these parts, for, on open¬ ing his dress, he found it formed on the neck and chest. On wiping and carefully examining the skin, he distinctly observed the red fluid exuding from the orifices of the sudoriparous ducts. So deeply stained was the fluid, that on taking hold of the handkerchief with which it was wiped off, the fingers were made quite bloody. As the bloody perspration ceased, the man’s speech returned ; and when the storm had passed over he recovered, and remained quite well during the rest of the voyage.— Casper’s Wochenschrift, 1848, and Medical Gazette. II.—PRACTICE OF PHYSIC. 43.—On Acute Muscidar Rheumatism and Rheumatic Inflammation of the Joints. By Dr G. Coeneliani of Padua.—Since Bouillaud pointed out the connection be¬ tween the endocardium and the blood-ves¬ sels in acute articular rheumatism, Cor- neliaui has specially examined the walls of the vessels, and has found that in a great number of cases, not only do the sero-fibrous sheaths of the muscles and joints, and the endocardium and pericardium, present signs of inflammation, but that similar signs are shown in the coats of the arteries. And even he is inclined to apply the terms ar- tcro-arthritis and artero-myositis to these diseases, although he does not mean that there is always a true arteritis, the condi¬ tion being frequently limited to a high de¬ gree of irritation, or a state of active hyper ■ aeinia. He endeavours to explain the con¬ nection between articular rheumatism and the inflammation of internal organs, by the assumption that the inflammatory process, which is first developed in the heart and vessels, has a natural tendency to localize itself wherever there are sero-fibrous mem¬ branes. He points out that the thick and firm buffy coat on the blood is a strong ar¬ gument in favour of the inflammatory cha¬ racter of the disease. This is always more marked than in other rheumatic inflanima- tion.s, and continues to exist after the mus¬ cular and articular pains have ceased, and seems closely connected with the febrile distui'bance of the system. Another symptom of great importance is the rheumatic inflammation of the muscles (especially those of the loins, abdomen, and which so readily terminates in sup¬ puration. This tendency seems to indicate the existence of an artero- or phlebo-myosi- tis(?) rather than simple myositis, just as wo find that suppuration of the lungs or liver almost always depends on artero- pneumonitis or artero-hepatitis. The arthralgic form occurs also in some exanthematous diseases (smallpox, scarla¬ tina, and miliary fever), whose inflammatory character proves (?) that they depend on sub-inflammatory irritation of the blood¬ vessels. Gouty inflammation of the joints -—an obstinate affection prone to recur_ in like manner depends on a torpid inflam¬ mation of the vessels. P'inally, we often meet with pain in the joints in chlorosis, the cause of which must be sought in a similar condition of the vessels. The inflammatory nature of acute i*heu- matism is further proved by the fact of its being induced by atmospheric causes, like the rheumatic and catarrhal inflammations of the internal organs. Whatever be the source from which we would derive the af¬ fection—whether we refer it to electricity](https://iiif.wellcomecollection.org/image/b29348390_0031.jp2/full/800%2C/0/default.jpg)
