Stomatitis neurotica chronica / by A. Jacobi.

  • Abraham Jacobi
Date:
[1894]
Catalogue details

Licence: Public Domain Mark

Credit: Stomatitis neurotica chronica / by A. Jacobi. 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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    Patient was always neurotic; dysmenorrhoea has accompanied lier through life; she has been married six years, and has been pregnant four times. The fimt pregnancy resulted in abortion, the second in the birth of a hoy who is four years old and suffers from dyspepsia and constipation. He is a very neurotic boy, cowardly, melancholic, and talks much of his health. The third and fourth pregnancies terminated in abortion. The patient wore convex glasses, No. 12, twenty years ago ; wears No. 6 at the present time. She suffers much from headaches, which do not appear to deijend on the condition of her sight. Cephalalgia will come on mostly about the time of menstruation, which is irregular, sometimes scanty, some- times copious, mostly behind time. Headache will also be produced by reading, thinking, and when the stomach is empty, also under the influence of anxiety or emotions in general. During her headaches she is pale; now and then, however, her forehead will be flushed. Her tendency to consti- pation will sometimes be interrupted by diarrhoea. Nausea is a frequent symptom; it is often complicated with vertigo. Her kidneys are normal, the urine now and then quite pale and of very low specific gravity. Other neurotic symijtoms are, fi'equent thirst, also nausea when she stoops and when at work over drawers. In such cases vomiting has been observed which lasted a whole day. Music will confuse her. In the stores she will sometimes forget what she wished to purchase. Oecasionally she comjDlains of neuralgic sensations all over the face in every direction. She sees sparks. Whatever she does she complains she does mechanically. She has “ to think terribly much.” Whenever she has such attacks of nausea, of vertigo, and during dys- menorrhoea she has a sudden eruption of vesicles in her mouth of a size from a lentil to a pea, preceded by local redness. They bui-st very soon and leave behind them a sore surflice of grayish-white color’, which feels a little harder than the normal neighborhood, the hardness evidently depend- ing on a fibrinous exrrdation into the surface. It takes many weeks before these sores heal. Fortunately they are never numerous. In a number of instances only one would appear. She has had these attacks very frequently since her thirteenth year. Menstrrration did not show itself before the fourteenth. The only times when she has been perrnanerrtly free were during pregnancy and during a traus-Atlantic voyage some four years ago and an absence of about six months. Case III.—W., stationer, thirty-one years old; never had eczema or other cutaneous diseases; never a chill; has regular bowels; boasts of general good health, and has a great many local and general complaints. He is a good sleeper, his organs appear to be healthy, his urine has a specific gravity of 1.023 and is negative. He smokes hut little, but both cigarettes and pipes. Boasts of not being a nervous man. His mother, however, was “ quite ner- vous,” and an only sister died of oedema glottidis at the age of thirty-one years. He has been addicted to masturbation from early life until a few years ago. For two years has had attacks of palpitation which last three