Transactions of the Association of American Physicians Volume 37

Transactions of the Association of American Physicians Volume 37

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This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1922 edition. Excerpt: ... complication, or it might represent a mixed infection with rheumatic fever. Embolic lesions occur with great frequency in the acute and subacute bacterial cases. They consist of petechiae, Janeway papules, Osler (tender cutaneous) nodes, gross embolisms in the vessels, embolic aneurysms, and purpura. This last-named condition as well as petechiae can, of course, occur without being embolic in nature. Embolic lesions in cases of rheumatic fever or valvular disease are due to secondary thromboses and not to the valve lesion as such. Such emboli never produce tender nodes or embolic aneurysms. The Osler node occurs only in the subacute cases. Subcutaneous fibroid nodules are found only in the rheumatic cases. The Janeway papules occur almost exclusively in the cases of acute bacterial endocarditis.1 In connection with subacute bacterial endocarditis I have seen them only three times, and in all these three instances they were quite small. In these cases there were associated small oval areas of erythema scattered over a smaller or larger part of the surface of the skin of the body, a type of eruption that we have never seen in cases of acute bacterial endocarditis. Typical erythema nodosum is not found in cases of acute or subacute bacterial endocarditis, but can occur in cases of definite rheumatic fever. Erythema multiforme in its typical form occurs only in the rheumatic cases and in the atypical cases of the indeterminate group. Atypical erythematous lesions are seen in cases of acute and subacute bacterial endocarditis. Petechiae occur frequently in cases of acute and subacute bacterial endocarditis. When they occur in rheumatic fever it is only as part of a purpuric eruption. Petechiae having white centers occur in the acute more

Product details

  • Paperback
  • 189 x 246 x 9mm | 313g
  • United States
  • English
  • black & white illustrations
  • 1236875451
  • 9781236875457