The American Practitioner and News. Vol. XXV. No. 3. Feb. 1, 1898: A Semi-Monthly Journal of Medicine and SurgeryVarious
Science
The American Practitioner and News. Vol. XXV. No. 3. Feb. 1, 1898: A Semi-Monthly Journal of Medicine and Surgery
Various
Medicine -- Periodicals
Then as to the frequency with which relapses occur in this disease, it
would be interesting to get the experience of good men. Many speak of
relapses being frequent, even after apparently complete recovery has
taken place. Others think them not of so common occurrence.
There are also many points of great interest in connection with the
prognosis. One of these is the probability of the recovery being
perfect. My own experience has been that the lighter or milder the case
the greater the probability of a perfect cure.
Another matter of interest is in connection with cases in which the
symptoms greatly abate, the health indeed appearing to be perfectly
restored, but in which the exophthalmos and thyroid enlargement continue
noticeable; whether in such patients very slight causes may not lead to
a return of the disease. From what I have seen, the conclusion appears
correct, that provided the heart’s action is normal as to frequency, and
not too easily disturbed, these cases are not specially likely to have a
second attack, which is tantamount to saying that, provided the heart’s
action has become normal, any other relic of the illness is
comparatively unimportant.
I have observed, too, more or less scleroderma present when the attack
has not been by any means of a serious character, and when afterward the
general health became all but perfectly restored. This is an interesting
concomitant. It would be desirable to have others give their experience
as to its occurrence in cases they may have attended.
Then as to the effects of pregnancy during the course of the disease;
some high authorities speak very strongly as to its great danger. Others
remark that the affection has improved during gestation. This is another
matter on which fuller information would be most useful.
As to the percentage of fatal cases, this is hardly as yet to be
determined so as to be useful to the practitioner. My own cases have led
me to the conclusion that every particular case has to be regarded _per
se_, that is, if the symptoms are light and comparatively trifling, and
show signs of abating, the prognosis is favorable, while under an
opposite state of things it is the reverse.
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