Identifier: amerbook00star (find matches)
Title: An American text-book of the diseases of children ..
Year: 1895 (1890s)
Authors: Starr, Louis, 1849-1925 Westcott, Thompson Seiser, 1862-
Subjects: Children
Publisher: Philadelphia, W.B. Saunders
Contributing Library: Yale University, Cushing/Whitney Medical Library
Digitizing Sponsor: Open Knowledge Commons and Yale University, Cushing/Whitney Medical Library

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nd feet are dusky and cold. When the\hands are pendent, the dusky area reaches to at least two inches above the wrists,but when they are hejd above the head the entire limbs become to a less degreeof the same hue. He has a marked tendency to indolent ulceration, particularlyin the distal portions of the extremities. At the end of the index finger of theleft hand are the remains of a formation similar to one which appears from timeto time at the end of any of the fingers. The finger-tip swells, and in a littletime contains serum and sometimes pus. The toe-nails are black or brownishand ridged roughly. Both hands and feet are abnormally large (Fig. 1). No 690 A(i;omi:<;al y. G91 loss of sensation was determined. Knee-jerk and muscle-jerk are about normal.He remains in about the same condition for weeks, when a change comes on,almost acutely. His lace, arms, hands, legs, and leet .swell perceptibly, increas-ing sometimes almost one half, and this swollen state will last a month or six
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An Acromegaloid Case. weeks, and then gradually disappear, leaving him very weak, his pulse at theend of these periods being scarcely perceptible. During the attacks he isobliged to keep his bed most of the time, and is in a condition of general las-situde and depression. While this case may not, strictly speaking, be one of acromegaly, it is a mostinteresting allied vaso-motor and trophic disorder, with permanent enlargementand transient changes in the extremities, these increasing at periods. Symptoms.—Acromegaly is a trophic disease characterized chiefly by agradual increase in size of the extremities, and usually also of the face. Acro-megaly usually begins with progressive enlargement of the hands, feet, andhead. The hands and feet may become of enormous size, the other relatedparts not increasing proportionately. Marie has suggested the name of battle-dore hands, while the English have sometimes described them as spade-like.Of the parts of the head, the face is usually most st

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