Identifier: interstatemedica1319unse (find matches)
Title: Interstate medical journal
Year: 1906 (1900s)
Authors:
Subjects: Medicine
Publisher: St. Louis, : Interstate Medical Journal
Contributing Library: The College of Physicians of Philadelphia Historical Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities

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forward and the femora outward; the pelvis becomes broaderand the bandy-leg effect is much accentuated. The height of the pa-tient in consequence of the curving of the bony supports is lowered often-times as much as a foot, and the arms then appear to be much too long.The whole picture is most impressively simian. The bones most fre-quently affected, in the order of frequency, are the skull, tibiae, femora,pelvis, spine, clavicles, ribs, and radii. While the disease is usually pro-gressive, it frequently does not involve all the bones, and in some casesit seems confined to one or few bones for many years. Fractures arenot infrequent, and in many instances draw attention to the condition.Pain in the bones is found in certain cases and entirely absent in others,and some cases suffer pain only when in motion, particularly those with ASE 1, Fig. 1.—Showing formation of lacunae and irregular cyst-like space with a thickeningof the bone, and marked bowing forward. Fibula normal. Left leg.
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OSTEITIS DEFORMANS. 225 marked spinal curvatures. There is a certain number of cases of Pagetsdisease that later on developed sarcoma of the bones, usually of thegiant celled variety. In differentiating this disease, osteo-arthritis and rheumatoid arthritiscan usually he eliminated, because Pagets disease rarely attacks thejoints. However, there is frequently limitation of motion due to themechanical interference of the bony overgrowth outside of the joints,which might lead one in a superficial examination to believe that thejoint itself is involved. Some writers, however, are inclined to believethere is a connection between these chronic rheumatisms and Pagets dis-ease. Acromegaly involves the bones of the face, hands and feet, por-tions of the body rarely or never attacked b\ osteitis deformans; besidesin acromegaly there is an accompanying increase of the adjacent softparts, while in osteitis deformans the hands and feet are rarely affectedand the enlargement of the head is due to

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