Childhood Measles Research Articles

Hypoparathyroidism of Probable Encephalopathic Origin

IDIOPATHIC hyperparathyroidism is a rare disorder. To date, Drake, Albright, Bauer and Castleman (1) have reported seven cases with an autopsy in one and have cited eight others. Goadby and Stacey (2), Franco (3), Berk (4), MacBryde (5), Klatzkin (6), and Sevringhaus (7) have each reported one and Emerson, Walsh and Howard (8), two. Kowallis (9) has reported one case and found ten others in the records of the Mayo Clinic—including the three instances of cerebral calcification reported by Eaton and Haines (10). Himsworth and Maizels (11) have reported one case of congenital origin. In the following report, an additional case is presented because of the suggestive evidence of the relationship of the central nervous system to the pathogenesis of parathyroid gland dysfunction. CASE HISTORY L. J., a 41-year-old, white, Russian Jewish man, was admitted to the Neurological Service in June, 1937 with the history of repeated convulsive seizures. He had had an attack of measles in childhood, an appendecomy in 1925 ...

MULTIPLE SYMMETRIC GANGRENE OCCURRING DURING PROLONGED ADMINISTRATION OF AMINOPYRINE

In most instances the origin of symmetric gangrene is impossible to explain. I wish to report the following case as the cause seems reasonably clear and the degree of involvement was extensive. REPORT OF CASE D. M., an unmarried woman aged 32, an underwear operator, was first seen by me on June 1, 1936. Her father and mother, three brothers and one sister were all living and well. The menstrual history was normal, and the only previous illness was measles in childhood. The patient drank coffee and wine rarely. The original consultation was to seek relief from articular disturbance associated with generalized weakness, both of which began four years previously when the right wrist began to be painful and later to swell. The weakness and lack of endurance had been slowly progressive, and after a year of debility pain developed in the feet, and the right knee joint became painful

GANGRENOUS MECKEL'S DIVERTICULUM PERFORATED BY A TOMATO PEEL

This case is not presented as propaganda against the eating of tomatoes but merely to emphasize a possible surprise that one may encounter in a case diagnosed as acute appendicitis. History. —J. L., a white man, aged 41, employed as the supervisor of a warehouse, seen by Dr. Bernhard, Aug. 18, 1932, complained of pain in the abdomen to the right of the umbilicus. The pain had started and remained localized in that spot. The patient's appetite was good and his bowel movements were regular. There had been no nausea or vomiting. Tomatoes had been eaten that morning, and pain had begun toward evening. He had never been in any accidents and had never under-gone an operation. He had had mumps and measles in childhood, and a left inguinal hernia had been present for about twenty years. The patient's mother had died at the age of 50 of pleurisy. His

LOCAL INSULIN REACTION

Lasersohn1recently reported a case of diabetes mellitus in a young woman treated with insulin, the administration of which was followed by a local erythema. This case differs so materially from an experience I have had that a report may prove of some interest. REPORT OF CASE History. —A white woman, aged 27, admitted to St. Luke's Hospital, June 27, 1930, said that sugar was found in her urine about four months before and that, in spite of dieting, it had persisted up to the present time. Her family history contained no record of diabetes on either the maternal or the paternal side. Her past history recorded no disease, except for whooping cough and measles in childhood. She had a daughter, aged 6 years. The pregnancy and labor were uneventful. Detailed inquiry into her mode of life about the time of the onset of diabetes failed to show a

THE PHENOMENON OF SUBJECTIVE SOUND PERCEPTION FOR WORDS AND SENTENCES: REPORT OF A CASE

REPORT OF CASE A man, aged 68, complained of symptoms of nasal catarrh, defective hearing and the subjective hearing of sounds or words when reading or thinking. There was nothing significant in the family history. The patient had the usual diseases of childhood—measles, mumps and whooping cough; he did not use tobacco or alcohol and had not had venereal disease. Since adolescence, he had enjoyed good health, except for the nasal and aural symptoms. The nasal symptoms dated back for twenty-five years. In 1916, he had symptoms of a bilateral otitis media. The nasal symptoms were associated with the development of nasal polypi. He had had tinnitus for the past twenty years, which he described as cricket-like sounds and crackling noises, especially on the left. He stated that the defect in the right ear developed during a cold in the head in 1916. In the fall of 1917,

SOME UNUSUAL DISTURBANCES OF THE MECHANISM OF THE HEART BEAT

AN ECTOPIC TACHYCARDIA OF FIFTEEN MONTHS' DURATION Attacks of simple paroxysmal tachycardia usually last but a few hours or at most a few days. Lewis1states that attacks which last a fortnight are rare and that longer attacks are unknown. D. C. Wilson2has recently reported an instance in which an attack of ten days' duration was followed by the development of gangrene of the forearm. This is the longest attack described in the recent literature. We were surprised, therefore, to encounter a patient with a tachycardia of this type that had persisted for approximately fifteen months. Case 1.—History. —Mr. E. K., and American student, aged 22, first seen by us in July, 1920. He complained of palpitation associated with rapid heart action. There was a history of whooping cough and measles in childhood, but none of rheumatic fever, chorea, scarlet fever or diphtheria. The patient had a severe atttack

THREE CASES OF "RENAL GLYCOSURIA"

Of forty cases of supposed diabetes received at U. S. Army General Hospital No. 9, the following three proved to belong to the class of so-called renal glycosuria. It was not possible under the circumstances to carry out a comprehensive research, and the observed facts are merely recorded as an addition to existing descriptions of the condition. REPORT OF CASES Case 1.1 —Private, infantry, American, 26 years of age, was admitted Nov. 1, 1918. Family History. —The father died at the age of 78 from arteriosclerosis and apoplexy. The mother was drowned at the age of 65. Five brothers and one sister are alive and well. No inheritable disease is known to exist. Personal History. —Patient had measles in childhood. He denies venereal or other diseases. Occasionally he drinks a glass of beer or wine; uses tobacco moderately. He has a normal figure. He has the average habits in diet.

OBSERVATIONS ON THE FLUID CONTENTS OF A CYST OCCUPYING THE EPIGASTRIC REGION OF THE ABDOMEN

The observations on the fluid obtained from a cyst, probably pancreatic in origin, which are here reported, seem worthy of record even though no satisfactory explanatory theory of the findings can be advanced by the observer. The fluid was obtained at operation from a patient who was admitted to the medical service at the Carney Hospital, March 29, 1911, and whose medical record was as follows: Patient. —Carney Hospital Medical No. 2055. Male, aged 42. Family History. —Father died of sarcoma. Mother died of pneumonia. Brother died of bronchitis. Sister died in infancy. No family history of pulmonary tuberculosis. Previous History. —Measles, mumps, pertussis, and scarlet fever in childhood. Pneumonia thirteen years ago. Gonorrhea twenty-three years ago. Habits. —Drinks alcohol to excess; chews tobacco. Present Illness. —Fourteen months ago his right leg between the shoe-top and knee became swollen. Soon after this his abdomen became swollen. He was admitted

A CASE OF RENAL TUBERCULOSIS.

The following case occurred in the wards of Dr. Joseph Hearn in the Philadelphia Hospital. I am indebted to him for the clinical history. L. H., 23 years of age, a native of Ireland, white and married. There is no tubercular family history. She was admitted in October 1896. The patient had measles in childhood. Influenza five years ago which left her with a weak right side. In January 1896 she was delivered of a six months fetus and since that time has been confined to bed continually. She has become much emaciated and has a profuse diarrhea. Examination of abdomen shows a large mass the size of a baby's head, in the right lumbar region. This is movable, and the skin is not adherent. The tumor is not painful except on deep pressure. A slightly tympanic note is heard in percussion over this mass. There is marked edema posteriorly