File:Nervous and mental diseases (1911) (14778119082).jpg

Identifier: nervousmentald00chur (find matches)
Title: Nervous and mental diseases
Year: 1911 (1910s)
Authors: Church, Archibald, b. 1861 Peterson, Frederick, 1859-1938, joint author
Subjects: Nervous system
Publisher: Philadelphia and London, W. B. Saunders company
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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ling to recur con-stantly in the same locations. In some of the congenital cases the swellingis practically permanent, general as well as intestinal symptoms being ab-sent. Occasionally there is an association of erythema and angioneuroticedema, the redness and swelling being of similar or dissimilar distribution. Diagnosis.—The diagnosis can present little difficulty if one is on 1 Schlesinger, Die intermittirenden Gelenkschwellungen, Nothnagels Spec.Pathol., 1903. 536 NEUEOSES. guard. We must differentiate the erythematous nodosities of rheu-matism, the persistent blue and white edemata of hysteria, and theedemata of renal and cardiac origin. Prognosis.—There is little danger unless the larynx be affected,and there is a general tendency for the attacks to cease in advancedyears, though sometimes they last for life, or may reappear after a longinterval. If traceable to inciting causes, the immediate prognosis isimproved. If dependent upon toxic conditions due to alcohol, tobacco,
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Fig. 229.—Symmetrical lipomata; three pairs, one over mastoids, one over maxillary articulations, one under angle of jaw (Beck). malaria, lithemic, or gastro-intest nal infection, the proper interventionpromises good results. Treatment.—If the cause can be discovered and removed, theneurosis promptly yields. Otherwise reliance must be placed on thosegeneral measures which are fitted to combat the neuropathic constitutionand build up the usually depraved systemic condition. The treatmentof the attack is symptomatic. Morphin for gastro-intestinal crises, heatand compression to the swelling, and tracheotomy or intubation ifrespiratory failure is seriously threatened. Bloodgood1 reports severalcases of persisting angioneurotic erythema cured by deep incisions. LOCALIZED HYPERTROPHIES. Symmetrical Lipomatosis.—Occurring commonly in adults, and usually on a background of syphilis or alcoholism, are cases manifestingi Johns Hopkins Hosp. Bull., May, 1903. TROPHONEUROSES. 537 localized

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