A case of chloroma / by S. C. Ayres ; with additional microscopical examination and photograph by Adolf Alt.
- Ayres, S. C. (Stephen Cooper), 1842-1921
- Date:
- [1896]
Licence: Public Domain Mark
Credit: A case of chloroma / by S. C. Ayres ; with additional microscopical examination and photograph by Adolf Alt. 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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![A CASE OF CHLOROMA.1 by s. c. ayres, m.d., cincinnati, ohio. With Additional Microscopical Examination and Photograph. BY ADOLF ALT, M.D., ST. LOUIS. IT IS possible that the subject of chloroma is as new and rare to many of you as it was to me when the case I have to report came into my hands. It only came into my service at the Ophthalmic Hospital because the neoplasm had invaded the orbits and produced a marked exophthalmos. In the Ameri- can Journal oj the Medical Sciences for August, 1893, appears a paper entitled Chloroma and Its Relation to Leukaemia, by Dr. George Dock, of Michigan, in which he reports a case. He has examined the literature of all languages and collected, including his own, seventeen cases of chloroma. Edward Ludwig, aged 7 years, was admitted to the Ophthalmic Hospital May 18, 1893. His parents are living and in good health. There are five other children in the family, all of whom are healthy. Previous History.—He has always been a bright, intelligent boy and has never suffered from any serious illness. He has had re peated attacks of parotitis (?) and the present trouble seems to have followed one of these attacks. He at first complained of pain in both orbital regions, at the same time both eyes seemed to be more than usually prominent. After a week or more, his mother noticed some impairment of his hearing, which slowly increased The exophthalmus increased more rapidly. He became very weak and somewhat emaci- ated, and complained of a severe pain in the left foot, on account of which he was unable to walk. Upon his admission into the hospital both globes were very prom inent, but the right more so than the left. It was with difficulty that he could close the lids of the right eye over the ball. The corneae are clear and there is no impairment of vision. The conjunctivae of both eyes are red and chemotic. The motility of the eyes is unimpaired. In *We republish this paper, read before the Section of Ophthalmology of the American Medical Association, May, 1896, and published in the Journal of the American Medical Association of November 7, 1896, at the express desire of our esteemed collaborator, as he hopes it will thus reach more readily a public to which it must be of especial inter- est and since a microscopic examination of parts of the tumor was offered us.— [Editor]](https://iiif.wellcomecollection.org/image/b21647550_0003.jp2/full/800%2C/0/default.jpg)
