Arteriosclerosis and Hypertension, with Chapters on Blood Pressure: 3rd Edition.Warfield, Louis M. (Louis Marshall)
Science
Arteriosclerosis and Hypertension, with Chapters on Blood Pressure: 3rd Edition.
Warfield, Louis M. (Louis Marshall)
Arteries -- Diseases; Blood pressure
Other interesting vasomotor phenomena are frequently connected with
arteriosclerosis. Such a one is the curious condition known as Raynaud's
disease, a vascular disorder which is divided into three grades of
intensity: (1) local syncope, (2) local asphyxia, (3) local or
symmetrical gangrene. This is not the place to describe this condition
except to say that the condition called "dead fingers" is the most
characteristic feature of the first stage. Chilblains represent the
mildest grade of the second stage. The parts are intensely congested and
there may be excruciating pain. Any one who has ever had chilblains
knows how painful they can be. The general health is not impaired as a
rule, although the attacks are apt to come on when the person is run
down. The third stage may vary from a very mild grade, with only small
necrotic areas at the tips of the fingers, to extensive multiple
gangrene.
Another and very rare condition in which chronic endarteritis was the
only constant finding is the disease described by S. Weir Mitchell and
called by him erythromelalgia (red neuralgia). This is "A chronic
disease in which a part or parts--usually one or more extremities--suffer
with pain, flushing, and local fever, made far worse if the parts hang
down." (Weir Mitchell.)
Probably the most frequently seen result of arteriosclerosis in the leg
arteries is the remarkable condition, first described by Charcot, known
as intermittent claudication. Persons the subject of this disease are
able to walk if they go slowly. If, however, any attempt be made to
hurry the step, there results total disability accompanied at times by
considerable cramp-like pain. The condition is much more prone to occur
in men than in women, and Hebrews seem more frequently affected. The
cause is most probably to be sought in the anemia which results from the
narrowing of the channels through which the blood reaches the part. The
stiff, much narrowed arteries allow sufficient blood to pass along for
the nutrition of the part at rest or in quiet motion. Just as soon as
more violent exercise is taken, calling for more blood, an ischemia of
the part supervenes, for the stiff vessels can not accommodate
themselves to changes in the necessary vascularity of the part. A rest
brings about a gradual return of blood and the function of the part is
restored. Pulsation may be totally absent in the dorsal arteries of the
feet and when the legs are allowed to hang down there is apt to be deep
congestion.
Public-domain text, read in full here on John Shaqi.
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