Nine cases of Graves' disease: ophthalmoplegia : remarks on the lid-symptoms / by Arthur Maude.

  • Maude, Arthur.
Date:
[1892?]
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Licence: Public Domain Mark

Credit: Nine cases of Graves' disease: ophthalmoplegia : remarks on the lid-symptoms / by Arthur Maude. Source: Wellcome Collection.

Provider: This material has been provided by UCL Library Services. The original may be consulted at UCL (University College London)

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    tneliioal ruovemeiils, frowning, drawing down the corners of the nioiitlj, raising the brows, or movements expiessive of emotions which were obviously not present. Slie liad a good deal of palpitation from time to time, bnt was still capable of great mnscniar exerlion withont faligne; took long walks, and was an expert and ardent mountaineer. The appetite is usually ravenous. In May 1891, after a sudden domestic trouble, the symptoms of palpiiation. ])roptosis, and muscular weakness again asserted themselves. After a period of rest she improved. Case IV.—Miss L., born 1849. This patient and Ihc next are sisters. Tiieir eldest brother had rheumatic fever. Their mother's brother had a goitre when a youth, and recovered completely, and his daughter has a goitre, and xised to get bronzing of the skin frouj time to time. I never saw the lady, but her relations noticed the discoloration, and the cousins de- scribed her to me spontaneously as being the colour of iodine (l)resumably skin painted slightly with iodine). Both of tlie sisters have that same restless self-denying sense of duty, common in many maiden ladies, wliich we saw°in Case Tiie fir.-t symptom in these two cases was goitre, which appeared when they were twelve and fourteen years old respec- tively, after a sinmllaneous attack of measles. But I am in- formed that it was remarked that Miss L. had very prominent eyes when she was seven years old. Siie has now (1891) a large goitre, much tremor which has been marked for many years, distmct {)r()ptosis, with slow movements of upi)er lids. She is a' typical instance of Graves' disense. In May 1891 there were several cases of influenza in the house, and she suddenly presented the symptoms of extreme (iei.res.sion, mu.scular debility, u slight rise of temperature, ioo°- loi for a week, during which time the pulse was rarely above 80 or 90 ; and there was at the same time great dyspnoea, due apparently to spasmodic asthma. She recovered slowly. During her recovery she }>rescnted a well-maiked case of ft mental condition to which Dr. Rus.sell Reynolds^ first drew atleiition, and which he calls chorea of ideas. If she tried to tiiink of anything in particular, or to write a letter on any sub- ject, something else came n[) in the mind at once, and she became so iH^wiIdored thfit she had to give up the attempt. • I-aneet, May 17, 189a