Clinical lecture on a case of progressive muscular sclerosis (pseudo-hypertrophic muscular paralysis of duchenne). / by William Pepper.

  • Pepper William, 1843-1898.
Date:
[1871?]
Catalogue details

Licence: Public Domain Mark

Credit: Clinical lecture on a case of progressive muscular sclerosis (pseudo-hypertrophic muscular paralysis of duchenne). / by William Pepper. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    CLINICAL LECTURE ON A CASE OF PROGRESSIVE MUSCULAR SCLEROSIS {PSEUDO-HYPERTROPHIC MUSCULAR PARALYSIS OF DUCHENNE). Delivered May 13, 1871, BY WILLIAM PEPPER, M.D., Lecturer on Clinical Medicine in the University of Pennsylvania ; Attend- ing Physician to the Philadelphia Hospital, and to the Children’s Hospital. WE., set. 20, was admitted to the Philadelphia Hos- # pital, April 19, 1871. He was born in Virginia, and has resided there or in the District of Columbia until the present time. His parents are both dead,—his father from cholera, his mother from some unknown cause. He had two sisters and a brother, all of whom are dead,—two from unknown causes; but one sister had paralysis (apparently hemiplegia), and was unable to walk for some time before her death. The patient himself was a delicate and weakly child so far back as he can recollect. He never suffered either from malaria or rheumatism. He was engaged in the country on a farm, and his strength was overtasked by heavy lifting. He never, however, met with any injury. Six years ago he began to notice gradually increasing loss of strength in the legs, which progressed so slowly that for eighteen months he was still able to run about, though not so actively as other boys. He was not obliged to use a cane until two years ago, and since then only in walking considerable distances. This gradually increasing debility was attended with no pain, formi- cation, or subjective sense of change of temperature in the legs. There were also no contractions or cramps of the muscles. The progressive debility had not continued long before he noticed that it was necessary, when he was standing or walking, to throw his shoulders back and protrude his
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