Neurosyphilis : $b Modern systematic diagnosis and treatment presented in one hundred and thirty-seven case historiesSouthard, Elmer Ernest
Science
Neurosyphilis : $b Modern systematic diagnosis and treatment presented in one hundred and thirty-seven case histories
Southard, Elmer Ernest
Neurosyphilis
The Board of Pension Commissioners ruled that the condition had been
aggravated _by_ service. (See Case E, “aggravated _on_ service.”)
1. In view of the fact that the majority of the cases here
abstracted happen to be in common soldiers, is there any evidence
bearing on relative incidence in officers and men? Quoting R. L.
Richards:
“The percentage of paresis cases among officers alone is variously
estimated from 50 per cent in the German army (Stier) to 58.9 per
cent in the Austrian army (Drastich). Since paresis is a disease
of more advanced life, it is but natural that the percentage of
paresis among officers, non-commissioned officers, and older
soldiers should be higher than among the whole military body,
where the average age is, as we have seen, well below thirty
years. Hence the above figures do not mean a greater prevalence of
syphilis among those classes, but that we have no means of knowing
how many of the others develop paresis. If anything it shows that
these ‘soldiers by calling,’ have a more stable mental make-up,
since they succumb chiefly to an exogenous toxin.”
Rayneau at the 19th Congress of French Alienists and Neurologists
at Nantes in 1909, discussing the insane of the army from a
medicolegal point of view, states that the most frequent mental
disease amongst officers and soldiers is general paresis. At
least, this disease is the most frequent basis of invaliding,
retirement, or placing in the inactive list. He states that French
and foreign statistics are at one upon this matter, quoting
Christian as finding 32% among the soldiers interned at Charenton;
Gamier at Dijon, 59%; Meilhon at Quimper, 42% and Talon at
Marseilles, 33.8%. Grilli found 31 of 40 officers interned in
Florence, Sienna and Milan victims of general paresis. Stier’s
German statistics indicate about 50%. Rayneau himself found 16 of
20 officers paretic and 17 out of 27 subalterns and _gendarmes_.
Public-domain text, read in full here on John Shaqi.
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