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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    Ilis sister, his mother, her brother, and lialf of the ehildren of the latter were similai’ly affected. In anomalies of the sexual organs, in ])regnancy (Hehra, Bnlkley), after confinement (Kbbner), it has been observed ; in lepra (Boeek, Nielcn) it appears either as prodromus and may last for years, or it originates—both tranniatieally and spontaneously—on anaesthetic pai’ts of the surface. The sjunal cord has been found to be altered iu chronic pemphigus; it is met with in chronic myelitis and in neuritis. But in all of these cases pemphigus was uot found on the mucous membrane, as in those related by me, and the following : Kopp' describes a case of what he calls tropho-neurosis hysterica. It was that of a woman with a neurotic history and hysterical attacks. Amongst other eruptions she had herpes ou the lower lip over the right mental nerve, and after that a small vesicle over the middle of the upper lip. This was followed by a large vesicle ou the left side of the lower lip and a stomatitis with frequent hyster- ical attacks. Both vesicles and stomatitis disappeared in five days. Later ou there was marked pain in the gums and on the mucous membrane of the mouth, followed by herpetic vesicles ou the lower lip and a marked stomatitis, with fetid breath and frequent hyster- ical attacks. A v'^eek later there came another crop of herpetic vesicles on the lower lip, and the same condition would repeat itself at longer or shorter intervals. During all these attacks the tem- perature was normal. Alongside the vesicles there went a des- quamating catarrh of the mucous membrane of the mouth, which recurred frequently and suddenly. Some months afterward, with a recurrence of the hysterical attacks and other skin affections, there was again herpes on the lips as before, and a marked stomatitis. T. S. Flatau publishes,^ under the head of chronic recurrent herpes of the oral cavity, the case of a merchant, thirty-eight years old, who was well until his eighteenth year. Then he had typhoid fever and became addicted to alcohol; it is thus that the neurotic element may be surmised to have come into the case. Some months after his convalescence from typhoid fever he had an herpetic erup- tion on the lower lip, which soon healed. Since that time he frequently had similar eruptions on the mucous membrane of the ' Trophoneurosen dor Haut. luang. Dias., Wllr/.burg, 1891. “ Deutsche ined. Woohcnschr., 1891. *