Albany medical annals . Lymph nodes: No enlarged lymph nodes are discernible, thethyroid gland is not palpable and there is no rectro-sternal orsub-sternal dulness. Abdomen universally tympanitic; no herniae. Scar of oldincision is present. Hemoglobin, 85 per cent. (Dare). Joints: All joints appear normal, no enlargement, great laxityof the joints permitting the most bizarre and varied muscularmovements. Muscles rather firm but a remarkable degree ofhypotonia exists. Bones: No tenderness of sternum, ribs or long bones. Markedangular deformity at site of former fractured bones of rightforearm.
Albany medical annals . Lymph nodes: No enlarged lymph nodes are discernible, thethyroid gland is not palpable and there is no rectro-sternal orsub-sternal dulness. Abdomen universally tympanitic; no herniae. Scar of oldincision is present. Hemoglobin, 85 per cent. (Dare). Joints: All joints appear normal, no enlargement, great laxityof the joints permitting the most bizarre and varied muscularmovements. Muscles rather firm but a remarkable degree ofhypotonia exists. Bones: No tenderness of sternum, ribs or long bones. Markedangular deformity at site of former fractured bones of rightforearm. Slight deformity of left ribs and left collar bone atsite of old fractures. Cranial Nerves: Discs and retinae are normal. Visual fieldnormal. No nystagmus. Pupillary reactions intact. Eye ballsprominent. Ears are normal. Mentality and speech processesnormal. Reflexes. Patella tendon and tendo Achillis jerks lively; To Illustrate Dr. Harvies Article on Blue Sclerotics with Brittle Bones. Albany Medical Annals, May, Fig. IV Bending and marked porosity of both thigh bones. Multiple fractures in left femur. 176 BLUE SCLEROSIS WITH BRITTLE BONES no Babinski or clonus. Superficial reflexes intact. Sensation uni-versally preserved. Urine: Amber, acid, sp. gravity , no albumen, sugar,blood, bile, pus, or casts; no indican. Literature. Most of the cases have been reported by Englishophthalmologists. The condition has been traced through severalgenerations and is distinctly hereditary; that is, the condition iscongenital and not acquired. While blue sclerotics are hereditaryit is a peculiarity that persons who have brittle bones have bluesclerotics also. Dr. Charles Herman, on April 5th, 1914, presented before theNew York Academy of Medicine, Section of Pediatrics, a childof twenty months, born of healthy parents, with blue scleras andbrittle bones. This patient had never made any attempt to standor walk. The literature on the subject is not particularly the Ophthalmo
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