Sequel to paper on Three cases of Raynaud's disease, Clin. Trans., vol. xvi, p. 179 / by Thomas Barlow.

  • Barlow, Thomas, Sir, 1845-1945
Date:
[1885]
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Licence: Public Domain Mark

Credit: Sequel to paper on Three cases of Raynaud's disease, Clin. Trans., vol. xvi, p. 179 / by Thomas Barlow. 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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    Reprinted from Vol. XVIII of the ‘ Clinical Society's Transactions.’] > J V .?/' ’ / ! • v . > ' t /S Sequel to paper\j?i Three Cases pf Raynaud’s Disease, 4 Clin. Trans*£^Q\, xvi, p. 179. By Thomas Barlow, M,D. Read' May 22, 1885. I PROPOSE in this communication to give some brief notes of the further progress of the three cases of Raynaud’s disease which I described in the 16th volume of the Transac- tions, and to deal especially with the results of treatment. The first case, Elizabeth N., originally under the care of my colleague, Dr. Poore, came again under my obser- vation August 29, 1884. She was admitted into University College Hospital with the fingers of the right hand almost black, the dorsum of the hand of a dark purple, and the palm of a light purple colour. The forearm for the lower two thirds was blue, the colour gradually fading away. There was slight distension of superficial veins. The left upper limb was similar to the right, but the colouration was less intense. The limbs felt very cold. The radial pulse was almost imperceptible at the wrists. The feet were also of a purplish colour, which was most marked over the toes, but not so intense as the colour of the fingers. The coloura- tion extended upwards for at least an inch above the ankles. There was also a little distension of superficial veins, and the child complained of aching in both feet and arms. The face was sallow and pale. Temp, in axilla at 12 noon, 98-8°. The heart-sounds were natural, the second being, perhaps, a little accentuated, 84 per minute. The urine passed at 2 p.m. was pale, acid, free from deposit of any kind, and contained no albumen. I cannot give the exact duration of this attack, but I believe it was not more than three hours. It is to be noted that August 29 was very chilly, succeeding a very hot da y. Next day, August 30, between 6 and 7 A.M., body temp, was 100°, and at 9 a.m. 99’8° in the rectum. The urine passed in the night was of a dark amber colour, but there was no deposit of pigment. It was of slightly alkaline reaction, sp. gr. 1018, and free from albumen. There was no play of colours with nitric acid. The limbs felt warm and the skin showed no pigmentary changes. The child was kept in bed until September 2, when