Image from page 231 of “Text-book of nervous diseases; being a compendium for the use of students and practitioners of medicine” (1901)
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Title: Text-book of nervous diseases; being a compendium for the use of students and practitioners of medicine
Year: 1901 (1900s)
Authors: Dana, Charles Loomis, 1852-1935
Subjects: Nervous system
Publisher: New York, W. Wood and Company
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons
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Text Appearing Before Image:
ob B wvaid.sDiseask (Abortive Fobm Known- as Digit] Mortui).- Sym-metrical gangrene or Raynauds disease is a rare affection charac-terized by spasm of the vessels of the extremities, coldness, pallor,waxmess of fingers or toes, or by blueness. mottling, swelling, pain,followed often by a dry gangrene of some of the fingers or toes. 206 DISEASES OF THE NERVOUS SYSTEM. Etiology.—The disease occurs usually in children and youngadults. Women are affected oftener than men. Anaemia, andchlorosis, and neurasthenic states predispose to it. Malarial in-fection, acute infectious fevers, menstrual disorders, fright, occu-pations that lead to exposure, such as washing, are causative factors.Diabetes and syphilis are also put down as causes. Symptoms.—The disease comes on rather suddenly and affectsoftenest two or three fingers of both hands. In its early and mild de-gree there are simply a coldness, numbness, and waxy pallor of thefingers. The skin looks shrunken. There is slight anaesthesia.
Text Appearing After Image:
Fig. 101.—Hand and Foot in the Gangrenous Stage op Raynauds Disease. The extremities feel as if dead. After a few hours this passesaway, but returns again and may finally become an almost constantcondition. Beginning in one or two fingers, it may finally involveall. The toes, tip of the nose, and ears may be similarly affected,though this is rare in the milder form. Exposure to cold, evenslight, is the common excitant of this form of the trouble, which iscommonly known as digiti mortui, dead fingers, or localsyncope. In severer grades the fingers become blue, swollen, and thereare burning sensations and much pain, but no anaesthesia. Thiscondition is known as that of local asphyxia, and it is usuallyfollowed by gangrene. In the gangrenous stage small blisters appear on the distalphalanges, which fill with bloody serum, then dry up, and beneath SENSORY NEUROSES OF THE CEREBRO-SPINAL NERVES. 207 the scab ulceration begins, which is shallow and soon heals, leavinga scar. The process th
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