Concerning the question of allergic components in joint diseases

Concerning the question of allergic components in joint diseases

201 ABSTRACTS history of allergy in 57.5 per cent, and family history in 24.5 per cent. Cutaneous skin tests were done and readings taken at the end...

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201

ABSTRACTS

history of allergy in 57.5 per cent, and family history in 24.5 per cent. Cutaneous skin tests were done and readings taken at the end of twenty minutes, and again after twenty-four hours for delayed reactions. Thtl most strongly reacting foods, usually articles of daily consumption, were restricted for one week and the diet was otherwise unlimited. Three meals a day were recommended, and no medication was employed. In sixteen instances, or in about one-half the cases, the symptoms abated. If there was incompetent relief, the diet then was manipulated. It was unusual to find more than three or four foods that actually The foods responsible for symptoms in produced clinical symptoms. most instances were as follows : wheat (19)) milk (lo), rice (9), potato (9)) coffee (7)) tomato (7)) egg (5), corn (4). Relief from sensation of pressure, hunger, pain and hemorrhage was taken to constitute good clinical result. Twenty-four patients were so classified, and included in t,his group were seven on whom gastroenterology had been performed with subsequent pain and hemorrhage. Seven patients were practically relieved, and there were two absolute failures. The author discusses the possibility of the mechanism of the lesion.

Experiments

With

graine. Lennox, 169, 1935.

Ergotamine

Tartrate

in 120 Patients

W. G., and von Starch,

With

lKi-

T. J. C. : J. A. M. A. 105:

Ergotamine tartrate was used in 120 patients with migraine. - The initial trial resulted in abrupt, and complete relief from the headache in 107 of these patients. Nineteen patients have used ergotamine for more than a year, and all but one have obtained relief on each of the repeated occasions on which it has been used. In some patients a tendency for the headaches to recur at more frequent intervals or the appearance of unpleasant accompanyin g symptoms limits the use of the drug. The administration is by intravenous or subcutaneous injection. The mechanism by which relief is Ingestion is relatively ineffective. obtained is as yet unknown.

Concerning Wellisch,

the Question E.:

of Allergic

Wien. mea. Wchnschr.

Components

in Joint

Diseases.

85: 935, 1935.

The author defines allergy in its broader aspects and cites the joint disturbances that occur in serum sickness, in intermittent hydrarthrosis, those seen occasionally in angioneurotic edema; and speaks of the fact that chronic polyarthritis is often associated with an eosinophilia; and, finally, discusses infectious arthritis from bacterial origin as having been considered due to bacterial allergy. He then cites in much detail a case of arthritis which is evidently on an allergic basis. He finally brings argument to bear of thr direct association bct’wccn allergy and art.hritis