Identifier: internalmedicine02wils (find matches)
Title: Internal medicine; a work for the practicing physician on diagnosis and treatment, with a complete Desk index
Year: 1920 (1920s)
Authors: Wilson, J. C. (James Cornelius), 1847-1934 Potter, Nathaniel Bowditch, 1869-1919
Subjects: Medicine Diagnosis
Publisher: Philadelphia, London, J. B. Lippincott Company
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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the disease. In some casestrigeminal neuralgia is present, and there may be pargesthesia, as numb-ness and tingling, but objective anaesthesia is uncommon. In a few cases hemifacial atrophy has appeared in the chronic insane;and in a few instances a hemilingual atrophy has appeared along with ahemiplegia. Diagnosis. — This presents no difficulty. The appearance of theatrophied tissue is unmistakable. In morphoea the bones are not invoh^ed; and in scleroderma, accord-ing to Duhring, there is an hypertrophy rather than atrophy, and thetissue is hardened. In Bells palsy the facial muscles are atrophied, and there is paralysiswith reactions of degeneration, but the skin and bones are not affected.Turner says that the faradic excitability of the facial muscles in hemi-atrophy is increased and that this arises from lessened resistance o\\^ng tothe disappearance of the subcutaneous fat. The history in Bells palsyis usually clear, the affection is acute, and the muscles alone are involved.
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OSTEITIS DEFORMANS. 833 So, too, in progressive muscular atrophy and in muscular dystrophy,when the face is invaded, the muscles alone are involved, the affection isbilateral, and the course and appearance are entirely different. VI. OSTEITIS DEFORMANS: FACETS DISEASE. Definition.—A rare disease of the bones, characterized by the absorp-tion anil new formation of bone tissue, which remains for a time uncalcifiedand leads to curvatures, over-growth and other deformities of the skeleton. Up to 1900 only 66 undoubted cases had been reported and in 1902onlv ircases had been observed in North America.

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