Some Medical Aspects of Old Age: Being the Linacre lecture, 1922, St. John's college, CambridgeRolleston, Humphry Davy, Sir
Science
Some Medical Aspects of Old Age: Being the Linacre lecture, 1922, St. John's college, Cambridge
Rolleston, Humphry Davy, Sir
Geriatrics; Linacre lecture, St. John's college, Cambridge; Longevity
_Hair._--Greying or whitening of the hair occurs commonly in old age,
but not universally for some centenarians have retained the natural
colour of the hair; coarse jet-black hair is specially prone to whiten
early. The change in colour has been ascribed by Metchnikoff to the
action of phagocytes (chromophages) which invade the roots of the hairs
and carry off the pigment granules. Like the arcus senilis it may occur
quite early in life and without any other indication of age, and is
often hereditary; as the sage of Norwich wrote, “Hairs make fallible
Predictions, and many Temples early Gray have outlived the Psalmist’s
Period.”[141] Lord Bacon[142] indeed said, “Hasty gray hairs, without
baldness, is a token of long time; contrarily, if they be accompanied
by baldness.” But baldness is often due to seborrhoea and so only
secondarily connected with advanced age. In some rare instances the
hair already grey or white has been known to regain its normal colour;
the late Sir Charles Cameron[143] recorded this event in his own life
after an accident confining him to bed for some months in his eightieth
year, and refers to the hair of a man aged 90 years returning to
its original brown colour; cases were also reported by Graves.[144]
Velasquez de Tarente[145] recorded an abbess who after an illness which
promised to be fatal in her hundredth year had a crop of brown hair,
and, like Sir Charles Cameron, put on weight. Four other cases are
given by Sir John Sinclair[146] in persons aged 80, 104, 105, and 114
years. Baldness may be definitely due to thyroid insufficiency and not
to atrophy of the hair follicles and sebaceous glands.
A pensioner aged 75, whom I saw with Major R. J. C. Thompson,
in the Royal Hospital, Chelsea, with baldness and a grey
beard, was given thyroid extract, as he was thought to
have hypothyroidism; his general condition then improved
wonderfully, and his scalp became covered with dark brown hair
which had to be cut at intervals. Parkinsonian tremor was
rather more obvious during the first six months that he was on
thyroid treatment.
The hair of the body may become scanty and lose its tendency to curl.
Excessive growth of hair (hypertrichosis) in women after the menopause
is an indication of disordered endocrine balance (loss of ovarian
internal secretion?) and is only so far an accompaniment of age; it may
be seen in comparatively young women from various causes.
_The nails_ are often longitudinally ridged, brittle, hard, and
thickened; but onychogryphosis is rather the result of neglect or of
disease than solely of old age.
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