File:The diseases of infancy and childhood (1910) (14761728074).jpg

Identifier: diseasesofinfa00kopl (find matches)
Title: The diseases of infancy and childhood
Year: 1910 (1910s)
Authors: Koplik, Henry, 1858- (from old catalog)
Subjects: Children
Publisher: New York and Philadelphia, Lea & Febiger
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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ica, which will later be fully described. Haemophilia.—Haemophilia is a rare condition of the blood andblood tissues which may be congenital or hereditary. It becomesapparent at birth or in early infancy, and is rare in later life. Nature.—The nature of the affection is obscure. It is a type ofhemorrhagic diathesis which is transmitted from generation to gene-ration in the female line. It is characterized by the occurrence ofuncontrollable hemorrhage after very slight injuries, and operations,and also in the absence of known traumatism. Etiology.—Many theories of the cause of the affection have beenadvanced. They may be grouped as follows: (a) An abnormal delicacy and friability of the bloodvessels. (&) An increase of the volume of blood (Immerman). (c) A defect in the coagulable constituents of the blood. (d) Certain agencies acting as toxins on the elements of theblood, causing their dissolution (Koch). The condition is most common in the Slavic races. Children PLATE XXXIV
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Haemophilia. Boy six years of age. Hsematoma of the face hemorrhage into the knee-joint. (Case of Or. Martin Ware. DISEASES OE THE BLOOD. 740 dying of the affection show evidences of intense anaemia, but may bewell nourished. Virchow has demonstrated that there is a narrow-ness in the arteries and also a thinness of their walls. Birch-Hirsch-feld found that the endothelium of the arteries was enlarged, and thatthe nuclei were swollen. The blood itself shows no changes exceptthose proper to post-hemorrhagic ansemia. The hemorrhages may occur in any region and from any organ ofthe body. There may be hemorrhage into joints, profuse epistaxis,intestinal hemorrhage or uncontrollable hemorrhage from the mouthor lung. The drawing of a tooth, the incision of an abscess, or aminor operation such as circumcision, may cause uncontrollable andfatal hemorrhage. In the newly born infant, there may be fatalhemorrhage from the cord. In the case pictured in Plate XXXIV.there were hemorrhages into the

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