Diseases of the nervous system : a text-book of neurology and psychiatry . as well. A neuritic erythromelalgia will improve or not as the neuritis does;similarly an arteriosclerotic one; but it usually gets worse. Thetherapy is for the more fundamental condition. A psychically deter-mined erythromelalgia, possibly a hysteria, needs psychoanalysis. 2. Spastic Anemic Group. Here the chief results are due to persistent or intermittent vaso-constriction. The syndromes are numerous and confusing, but amongthem a few are sufficiently distinct or constant to be given diagnostictitles such as Raynauds


Diseases of the nervous system : a text-book of neurology and psychiatry . as well. A neuritic erythromelalgia will improve or not as the neuritis does;similarly an arteriosclerotic one; but it usually gets worse. Thetherapy is for the more fundamental condition. A psychically deter-mined erythromelalgia, possibly a hysteria, needs psychoanalysis. 2. Spastic Anemic Group. Here the chief results are due to persistent or intermittent vaso-constriction. The syndromes are numerous and confusing, but amongthem a few are sufficiently distinct or constant to be given diagnostictitles such as Raynauds disease, intermittent claudication, migraine,pseudosclerosis, asphygmia alternans, etc. Only the chief types canbe taken up; the purely tentative nature of the classification must beemphasized. Raynauds Disease.—Raynauds disease is also known as symmetricalgangrene, local asphyxia. This syndrome, like the preceding one, maybe of many origins. It may be psychical (shock, hysteria, schizo-phrenia), cerebral, or spinal organic (capsular (thalamic) hemorrhage. PLATE III. Fig. 2


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