Intermittent claudication and allied syndromes due to angiosclerosis of the extremities / by J. Ramsay Hunt.

  • Hunt, James Ramsay, 1872-1937.
Date:
[1905]
Catalogue details

Licence: In copyright

Credit: Intermittent claudication and allied syndromes due to angiosclerosis of the extremities / by J. Ramsay Hunt. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

    4/30 (page 4)
    Strangely enough, this very striking, and, as has been demonstrated by subsequent experience, not un- common affection, received but little attention in other countries. It was not until 1892 that Elzholz, and in 1895 that Goldflam, recorded cases in Ger- many. In 1898 however, Erb, in a masterly exposi- tion, comprising a complete analysis of the literature and a most able discussion of the whole subject in all its phases, inaugurated a new era for the intermittent claudication, and insured it a permanent and im- portant niche in the pantheon of disease. While Charcot attached the greater importance to disease of the larger arterial trunks, as did also the veter- inarians, Erb demonstrated in the clearest manner possible its dependence in the vast majority of cases upon sclerosis and obliteration of the smaller arterial branches and terminals. Since Erb’s publication many monographs have appeared in German literature showing the fre- quency and growing importance of the affection. Among these are Higier, in 1900, recording 23 cases; Hagelstam of Helsingfors, in 1901, recording 7 cases; Idelsohn, in 1903, recording 14 cases. In this country the first report of a case was made by Putnam of Boston in 1901. Subsequent case reports followed by Dana, in 1902; Riesman, 1902; Walton and Paul, 1902; Levy, 1902; Patek, 1904, and Burr, 1904. In the literature of Great Britain no con- tribution to this subject could be found. The natural inference is that in this country and Great Britain either the malady is rare, or it has not yet attained widespread recognition and importance. Several names, more or less descriptive in nature, have been suggested to supplant the original, as suggested by Charcot. Intermittent muscular paral- ysis (Grossman) ; myasthenia angiosclerotica (Hi-