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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    or four days, during wlxich Ijreathing is more or less difficult. His heart is of normal size, the sounds feeble ; there is no murmur, no hypertrojdiy. He complains of his stomach, which has been bad three or four years; of slow digestion, and of attacks of vomiting some years ago. He eats rather fast, and takes alcoholic beverages from time to time. The gastric pain he com- plains of is in the median line. He has it mostly when the stomach is empty. The pain leaves him after eating and returns after an hour or two. His diet does not appear to influence this pain; as he expresses himself, he has pain after everything and is painless after everything. When he presented himself in March, 1894, he gave the following history: During the last days of 1890 he was sleepless, from no apparent cause. He committed no indiscretion in his diet, but on the 1st of January, 1891, quite suddenly he had what he calls canker sores on his left cheek; blisters sprang up which opened soon and left a white surface which lasted weeks aud gave him much pain. He saj's they travelled around the mouth on both sides, jumping over distances, and have not left him since with the exception of a few days about Thanksgiving Day in 1893. Until that time he had a large number of such blisters and ulcerations of the size of peas and less, rising from what appeared to be a normal surface, on lips and tongue, besides the cheeks. All at once, about Thanksgiving, 1893, he could again whistle and remained well a whole week. Then blisters would S2xring up again on the outside of the lips; the angles of the mouth cracked, and blisters appeared in the oral cavity, terminating in superficial excoria- tions. Since the 1st of December, 1893, when the new eruixtion sprang up, its character has somewhat changed. Besides the large ixemphigus vesicles in his mouth, the outside of the lips has jxarticipated in the 2>rocess. There the vesicles are smaller, and rise from a hypertemic surfiice. The cheek will swell ujx now aud then, and headaches are not of uncommon occur- rence. On April 2d, he complained of a severe headache which had con- tinued a week, and necessitated, and was eased by, prolonged sleep. This headache improved greatly since a few days ixrevious to his call a fi-ontal herpes showed itself. During that time his bowels and appetite had im- jxroved, but a symptom which had not been present before and staggered him much, was a veiy copious 2xers})iration around his amis. On the 17th of May he re^jorted this had disappeared; there was some ]iain on the right forehead; there was no iiemiihigus in his mouth, but a few iicmphigus eruptions had appeared on the outside of his lips, which had la.stcd three weeks. He again makes the statement that he luvs not been free for a year, with the exception of that one intermission in Xovember, 1893. Pemphigus has araougst its causes heredity aud certaiu alfectious of the nervous system. Kaposi^ reports the case of a man of twenty-two years who suffered from pemphigus since his childhood. > A. Eulenburg: Real. Encycl., 2d ed., vol. xx. p. 291.