The Journal of nervous and mental disease . side from the principal pe-culiarities of the katatonic type and the rapid onset and de-velopment of mental and moral insanity, there occur innum-erable somatic symptoms that are, however, conceded as com-mon to other forms of mental disease. I refer to the presenceof emaciation, anemia, congestions, cyanosis, local edemas,abundant salivation, local or generalized erythematous blush-ings (of vasomotor origin), generalized hyperidrosis (with-out apparent cause), dermographia, anesthesia and the part of the motor apparatus, fibrillary twit
The Journal of nervous and mental disease . side from the principal pe-culiarities of the katatonic type and the rapid onset and de-velopment of mental and moral insanity, there occur innum-erable somatic symptoms that are, however, conceded as com-mon to other forms of mental disease. I refer to the presenceof emaciation, anemia, congestions, cyanosis, local edemas,abundant salivation, local or generalized erythematous blush-ings (of vasomotor origin), generalized hyperidrosis (with-out apparent cause), dermographia, anesthesia and the part of the motor apparatus, fibrillary twitchings, cir-cumscribed tonic, clonic twitchings, epileptoid, apoplectoidand hemiplegic attacks are often noted. The widely dilated 766 DORSAY HECHT pupils react briskly to light. Polydipsia, polyphagia and poly-uria are not infrequent. Cardiac and respiratory arhythmiaare observed, as are also menstrual irregularities, causelessprotracted diarrheas, alternating with annoying increase in the body temperature is not Fig. 2 Case 2. G. Katatonic type. Case report 2—G. B., aged nineteen years, single, was ad-mitted September, 1900; laborer by occupation. No historyof insanity in his ancestors. Father and mother wore nativesof Virginia; no partictilars were furnished in regard to patient received for only a few years a common school-education. The history prior to admission to the hospital was A STUDY OF DEMENTIA PRECOX 767 most unsatisfactory. The date of appearance of the first symp-toms was unknown and their character entirely obscure. Sincehe had been under observation, the symptoms progressed rap-idly, but with almost no variability. The patient was of dark complexion, 5 ft. 7 in. tall, andweighed about 150 lbs. All physical findings at date of entrywere recorded as negative with the exception of an irregularpulse and exaggerated knee-reflexes. He was a pernicioususer of tobacco. No history of past venereal diseases was as-certainable. I
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