Archives of internal medicine . hypertrophied, the hypertrophj being of the entire organand also fthe individual papilla; there is ;i scattered but well-marked exfoliating dermatitispresent, Bhown by numerous Blightly elevated patches •with a fine sinuous border,ming an incomplete ring. These patches change their position from day to ? on the surface of the body or In the naso- pharynx. The toi enlarged. There la no noticeable atrophy of any of the muscles. i- no superficial glandular enlargement. No trembling of theband-. The strength in the binds i- diminished. Dynamometer r
Archives of internal medicine . hypertrophied, the hypertrophj being of the entire organand also fthe individual papilla; there is ;i scattered but well-marked exfoliating dermatitispresent, Bhown by numerous Blightly elevated patches •with a fine sinuous border,ming an incomplete ring. These patches change their position from day to ? on the surface of the body or In the naso- pharynx. The toi enlarged. There la no noticeable atrophy of any of the muscles. i- no superficial glandular enlargement. No trembling of theband-. The strength in the binds i- diminished. Dynamometer readings: righthand 22 kg., lefl band 22 kg. (pressure). The power In the arm-, forearm-,and thighs la fairly well conserved, but the flexors of the fool are decidedly •while th( »• bo affected. The walk la thai of the Bteppag with al the .-ana time an ataxia and 1 rtain Incoordination and Bwaying. In menta of the band- and of the feel there is some error when-pen. and thia la much - when the eyes are closed, i. Hypertrophic interstitial neuritis. Transverse section of a superficial nerveof the cervical plexus measuring mm. in diameter. Stained by van Giesonsmethod. The individual nerve fiber is seen surrounded by a sheath of connectivetissue consisting of a number of layers disposed concentrically. WALTER F. SCHALLER 403 is some adiadoclrokinesis in both hands, but this is not pronounced. There is adistinct Romberg, but no asynergia or mouvements demesures (Babinski). Reflexes: The knee jerks, ankle jerks and radial reflexes are absent. Thetriceps reflex is present. The abdominal reflexes are present and the plantarreflex is in flexion. The anal and cremasteric reflexes are absent. On percussionof the muscles the muscular reflex is everywhere present. Sensibility: The sensibility is markedly affected in the extremities but notabout the trunk. The sensibility to touch, to heat and cold, and to pain showsa diminution which is more pronounced at the periphery of a membe
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