On the study of the hand Author:Edward Blake Purchase of this book includes free trial access to www.million-books.com where you can read more than a million books for free. This is an OCR edition with typos. Excerpt from book: Fig. 14. Pulmonary Hypertrophic Osteo-arthropathy. (After Massalongo of Verona.) Here the nails serve to distinguish the disease from Acromegaly. I... more »n Marie's disease, they are broad and smooth, Not Overlapped BY Skin. i.i r .'.'...' . . . i On; i. . ,.' .-—.'.. ' i.'i. . ' -.. . i-i-. . . . ' ' r. -.- : ;..' . '.'. ' i'.' I--'-'' '%. .' afterwards found that the fingers on that side were covered with scurf and affected with chilblains. The nails grew dead and white, and they were harsh in texture. Glazed spots appeared at the root of the finger-nails, whilst well- marked clubbing set in on the side of the traumatism. A very complete bibliography of the subject may be found at the end of a capital monograph by Massalongo of Verona. It is in Vol. X., M., of the " Policlinico," published at Rome in 1897, by the Societa Editrice Dante Alighieri. It is curious that all the cases of Marie's disease that have been recorded up to the present time, have occurred in men. I have recently seen a woman of 35, suffering from a second attack of spinal caries. She had Pott's disease at 14, and is now much disfigured by the so-called " angular curvature." There is, however, no trace of Marie's disease in the finger-tips; perhaps this is because the respiratory organs are not yet invaded by tubercle. Fig. 15. Acromegaly In The Adult. (harry Campbell.) Dr. Harry Campbell has pointed out a curious resemblance between the normal condition of the gorilla and the acquired bone and skin changes of the acromegalous subject. Many of the morbid signs in this disorder, first described by Marie in 1886, are examples apparently of reversion to a primitive arboreal type. This . is seen by comparing the acromegalous hand, with the accompanying woodcut of a gorill...« less