Modern diagnosis and treatment of diseases of childern; a treatise on the medical and surgical diseases of infancy anf childhood . -Tuberculous Disease of the Elbow-joint in Boy 18Months Old. (Sheffield.) ent perfect health. Fever is usually absent in the beginning andonly slight—in the evening—at a later stage of the disease. Asthe tuberculous process advances progressive anemia and emacia-tion make their appearance but are not pathognomonic of theaffection. The local symptoms also are very vague at the reason why local tuberculous disease is frequently lOmariation. 376 COMMUNICAB
Modern diagnosis and treatment of diseases of childern; a treatise on the medical and surgical diseases of infancy anf childhood . -Tuberculous Disease of the Elbow-joint in Boy 18Months Old. (Sheffield.) ent perfect health. Fever is usually absent in the beginning andonly slight—in the evening—at a later stage of the disease. Asthe tuberculous process advances progressive anemia and emacia-tion make their appearance but are not pathognomonic of theaffection. The local symptoms also are very vague at the reason why local tuberculous disease is frequently lOmariation. 376 COMMUNICABLE DISEASES. Frequently overlooked until, as will presently be shown, deformity and lossoverlooked. Q£ functjon nave occurred, which vary greatly in extent andseverity with the seat of the lesions and the mode of treatment. 1. TUBERCULOSIS OF THE VERTEBRAL COLUMN(Spondylitis; Potts Disease). The tuberculous process usually begins in or near the verte-bral body, and if not arrested, gradually extends to the contiguousstructures, including the spinal Fig. 106.—Potts Disease (Langerlians). Kyphosis of dorsalvertebra?, the result of caseous tuberculous periostitis and osteo-myelitis. Destruction of three thoracic vertebrae. Two-thirdsnatural size. It is manifested by an ulcerative and often suppurative destruction of the bone, with metastatic—gravitation—abscesses in distant locations, , retropharyngeal abscess, in cervical anci^nin^ spondylitis; psoas abscess, in lower dorsal and lumbar disease. vmebrai Furthermore, with softening and crumbling of the vertebral bodies, bodies, the spinal column, as it were, topples over, usually back- Kyphosis wan- producing a deformity known as kyphosis, gibbus or Potts hump. The condition is gradually further aggravated by com- Lordosis. pensatory spinal deformities (especially lordosis) and a group SPONDYLITIS. 377 of other distressing pressure symptoms soon to be related whichif not arrested throw the unfortunate creature
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectchildren, bookyear191
