Uric acid in the clinic : a clinical appendix to "Uric acid as a factor in the causation of disease" / by Alexander Haig, assisted by Kenneth G. Haig.

Date:
1910
Catalogue details

Licence: In copyright

Credit: Uric acid in the clinic : a clinical appendix to "Uric acid as a factor in the causation of disease" / by Alexander Haig, assisted by Kenneth G. Haig. 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.

    39/326 (page 25)
    frequent and severe, and they had all along considerably interfered with my education. The rest of my case, and the way in which I steadily improved as the various sources of introduced uric acid were one after another found out and removed from my food lists, has already been told in Uric Acid. Both my children suffer from migraine, and my son's case will now be described. Both are better on a diminished consumption of uric acid-containing food. I describe my son's case first, for, though it does not come next my own in point of time, it is necessarily the one which, next to my own, I know best and in most accru'ate detail. His more important troubles began when he was in his sixteenth year at Eugby in 1894-5. He had had migraine for years, but had not up to this time been put on to a strict diet, though meat had been somewhat cut down. He had also been subject to attacks of intestinal dyspepsia with fever (often 102°), which were treated with a small dose of calomel, the temperatm-e falling to normal in a few hom's. He had occasional attacks of croup and bronchitis as a child, and whooping cough at 12 years, but no other infectious diseases till he went to school. In July, 1904, he fainted in morning chape], and again in December, 1904, he did the same after a run with the other boys. After this second faint he was taken to the sanatorium, where Dr. Dukes examined the urine and found albumin; this, however, only lasted for twenty-fom* hours, and he was soon allowed to retm'n to school work. This was the first time I had heard of his having albumin ; I had examined his urine several times when he had headaches, but found none. When at home for the Christmas holidays (January, 1895), he had a bad headache beginning about noon on January 13. In this his pulse was 70; hands and feet cold ; face pale and puffy ; second sound of heart loud and occasionally reduplicated. He looked, now and then, as if he might faint. He sat in front of the fire and took a little sp. ammon. aromat. Headache passed off about 4 p.m. Urine of night of 12th (before headache) contained no albumin. Urine passed during headache, milky with urates, sp. gr. 1030, acidity 7'2 cc. of decinormal soda solution, urea 3 per cent., uric acid '18816 per cent. Eelation uric acid to urea 1 to 16, a large excess. Albumin present (a distinct trace with acetic acid and boiling). Urine passed 8'45 p.m. of same day, 1024, acid, no albumin. On January 16 I examined his blood and found haemoglobin 79 per cent., cells 93 per cent., making the blood decimal 0'85.