The various manifestations of the rheumatic state as exemplified in childhood and early life : lectures delivered before the Harveian Society of London / by W. B. Cheadle.

  • Cheadle, Walter B. (Walter Butler), 1835-1910.
Date:
1889
Catalogue details

Licence: Public Domain Mark

Credit: The various manifestations of the rheumatic state as exemplified in childhood and early life : lectures delivered before the Harveian Society of London / by W. B. Cheadle. Source: Wellcome Collection.

Provider: This material has been provided by Royal College of Physicians, London. The original may be consulted at Royal College of Physicians, London.

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    tractility ami tendon reflex would be decisive. I Lave, liOAvever, now under my care at Great Ormond Street a boy who had considerable rigidity about the knees, the extension of which gave great pain. The tenderness was, however, general, the toes drooped, and faradic contractility had almost disappeared in the affected muscles. Another condition which is liable to be mistaken for slight rheumatic arthritis is syphilitic disease of the ends of the long bones. In this there are tender- ness and swelling from accompanying periostitis, and there may be even some arthritis, the limbs being kept motionless from pain on movement. It may be distinguished by the presence of other signs of con- genital syphilis, and by the history possibly; but the age at which it occurs—viz, in the first few months after birth—is almost diagnostic. Rheumatic arth- ritis is almost, if not quite, unknown in early infancy. I have never seen it under two years, although Dr. Goodhart has noted some doubtful cases in children of two or three months, and Henoch records one at ten months. Senator has collected several cases in infants, one at four weeks old. Another condition which has been mistakenly re- garded as rheumatic is the tenderness, swelling, and immobility of the limbs which arise in infantile scurvy