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SOUTH-EASTERN UNION OF SCIENTIFIC SOCIETIES.
680 tension would be different again. This is a point which might well be cleared up. Finally, setting aside those exceptional cases of high and progressive myopia where predisposition is the dominating factor, the extent and rate of increase of myopia in children does in common experience bear a direct relation to the number of hours during which their eyes are employed in poring over books or needlework in a stooping position. Dr. EdridgeGreen doubts the existence of any such relation. But, until the contrary is proved, it will be wise for school medical officers to continue to act on the assumption that the relation exists.
a manifestation of some cause of a toxic infective nature in whose development the action
be
of the nervous system plays a contemporaneous part. Dr. Ruhl’s case is as follows. A soldier, aged 33 years, in whom the Wassermann reaction was negative and who was free from signs of tubercle, which was also wanting in the family history, had formerly been a kiln-man by occupation, and it may be supposed that if he were the
subject of
a marked rheumatic diathesis, preto disposed rheumatic manifestations, he would have felt the effect of it while thus employed. I exposed to damp and great changes of temperature. But the purpuric dermatosis only made its appearance when he took to working as a field labourer, SOUTH-EASTERN UNION OF SCIENTIFIC having to stand for many hours during the day SOCIETIES. THE twenty-third annual congress will be held with his feet in water or in tall wet grass which in London from May 29th to June lst, inclusive, soaked him up to the knees. Majocchi,-in describing his cases, was unable to find in rheumatic causes and the programme includes an evening meeting of considerable interest to the medical profession. any condition, either predisposing or determining, On Thursday evening, May 30th, at 8 P.M., Sir for this disease ; in Dr. Ruhl’s case, however, damp Ronald Ross will open a discussion on Mosquitoes in and cold were a very material factor. Nevertheless, seems that besides this rheumatic factor there was England. In view of the investigation by the Local it another to be taken into consideration-secondary Government Board now proceeding, and to enable those engaged upon the work to be present, the perhaps-the prolonged erect posture. Bearing on discussion will take place in the Theatre of the this point, it is worthy of notice that on the ankles Civil Service Commission, Burlington Gardens, where the boots exercised their maximum pressure was entirely absent, leaving a zone of Piccadilly, W., and the meeting will be open to the eruption contrasted strongly with the parts which all interested in the subject, no tickets being immunity above and below. And it is therefore probable that required. the compression exercised by the laced part of the boots PURPURA ANNULARIS TELEANGECTODES. protected the skin from the incidence of the ____
changes by acting as a mechanical factor Majocchi described in 1895 a purpuric the passive vaso-dilatation and which prevented dermatosis which, although in some respects it fits into the varied and complex picture of congestion produced and furthered by the prolonged erect posture, under the influence, also prolonged, purpura, yet undoubtedly represents an autonomous dermato-pathological-entity with special clinical of damp cold. UNDER this
name
new
____
and anatomical characters of its own. Later, EXONERATION OF SURGEON-GENERAL describing two fresh cases illustrated by new and MACNEECE. more thorough histological researches, he proposed IN our report of the proceedings in the House of the name telangiectasia follicularis- annulata; but in 1905, summarising his observations in a mono- Commons we recorded last week the statement made by Mr. Macpherson with regard to the posi. graph enriched with several new cases and more tion of Surgeon-General J. G. MacNeece. Sir accurate investigations, he very properly returned Watson asked what had been the result, if Cheyne to the former nomenclature, which has since been of the private inquiry by the Army Council any, maintained by nearly every author on the subject. in conThe morphology of the condition is now well estab- into the charges made against this officer in nexion the when with Mesopotamia, campaign lished and consists in an endarteritis and endoMr. in as follows :wrote reply Macpherson phlebitis obliterans, which commence in the vessels The Army Council have received and considered a stateof the subcutis and extend gradually to the capil- ment of MacNeece in regard to the laries of the whole derma. This vascular occlusion findings of Surgeon-General the Mesopotamia Commission in his case and is produced by proliferation of the inner and middle have formed the opinion that no blame can be attached to in regard to the manner in which he carried out his coats, the tunica adventitia not sharing in the pro- him duties in connexion with the medical services during the a there on the cess, contrary, slight degree campaign. being, of perivascular lymphocytic infiltration. Hyaline That the private inquiry had arrived at this condegeneration of the vessels then ensues, with the clusion was made known to Surgeon-General formation of aneurysmal dilatations, which rupture, MacNeece in a confidential memorandum from giving rise to haemorrhage and pigmentation. Still the War Office, but as that memorandum is worded later on there are phenomena of cedema, with atrophy in the terms of Mr. Macpherson’s official and degeneration in the epidermis and whole skin. exactly statement there can be no indiscretion in stating All these aspects were typically present in a case the fact. But now comes the singular thing. The recently described by Dr. Carlo Ruhl, of the Royal Council have decided that they do not see Dermatological Institute of Turin,l in which the Army their way clear to giving publicity to their decision. dermatosis was symmetrical and limited to the In other words, Surgeon-General MacNeece can be lower extremities from the dorsum of the foot to blamed by the Mesopotamia Commission, the inguinal fold, and had existed for three months. publicly but cannot be publicly cleared by the Army Council. The chief interest of the case, however, consists in We confess to being entirely unable to understand the light it throws on the vexed question of the either the justice or the logic of such manners, and etiology of the disorder. Most observers are agreed hope that all those who derived a wrong impression that neither syphilis nor tuberculosis plays any part from the Report of the Mesopotamia Commission in its causation, while Vignolo-Lutati disclaims any as to this officer’s behaviour will take notice that absolute exclusivisms and believes the disease to the Army Council, after inquiry into the charges 1 II made against him, have given him full exoneration. Morgagni: Archives, Jan. 31st, 1918.
a manifestation of some cause of a toxic infective nature in whose development the action
be
of the nervous system plays a contemporaneous part. Dr. Ruhl’s case is as follows. A soldier, aged 33 years, in whom the Wassermann reaction was negative and who was free from signs of tubercle, which was also wanting in the family history, had formerly been a kiln-man by occupation, and it may be supposed that if he were the
subject of
a marked rheumatic diathesis, preto disposed rheumatic manifestations, he would have felt the effect of it while thus employed. I exposed to damp and great changes of temperature. But the purpuric dermatosis only made its appearance when he took to working as a field labourer, SOUTH-EASTERN UNION OF SCIENTIFIC having to stand for many hours during the day SOCIETIES. THE twenty-third annual congress will be held with his feet in water or in tall wet grass which in London from May 29th to June lst, inclusive, soaked him up to the knees. Majocchi,-in describing his cases, was unable to find in rheumatic causes and the programme includes an evening meeting of considerable interest to the medical profession. any condition, either predisposing or determining, On Thursday evening, May 30th, at 8 P.M., Sir for this disease ; in Dr. Ruhl’s case, however, damp Ronald Ross will open a discussion on Mosquitoes in and cold were a very material factor. Nevertheless, seems that besides this rheumatic factor there was England. In view of the investigation by the Local it another to be taken into consideration-secondary Government Board now proceeding, and to enable those engaged upon the work to be present, the perhaps-the prolonged erect posture. Bearing on discussion will take place in the Theatre of the this point, it is worthy of notice that on the ankles Civil Service Commission, Burlington Gardens, where the boots exercised their maximum pressure was entirely absent, leaving a zone of Piccadilly, W., and the meeting will be open to the eruption contrasted strongly with the parts which all interested in the subject, no tickets being immunity above and below. And it is therefore probable that required. the compression exercised by the laced part of the boots PURPURA ANNULARIS TELEANGECTODES. protected the skin from the incidence of the ____
changes by acting as a mechanical factor Majocchi described in 1895 a purpuric the passive vaso-dilatation and which prevented dermatosis which, although in some respects it fits into the varied and complex picture of congestion produced and furthered by the prolonged erect posture, under the influence, also prolonged, purpura, yet undoubtedly represents an autonomous dermato-pathological-entity with special clinical of damp cold. UNDER this
name
new
____
and anatomical characters of its own. Later, EXONERATION OF SURGEON-GENERAL describing two fresh cases illustrated by new and MACNEECE. more thorough histological researches, he proposed IN our report of the proceedings in the House of the name telangiectasia follicularis- annulata; but in 1905, summarising his observations in a mono- Commons we recorded last week the statement made by Mr. Macpherson with regard to the posi. graph enriched with several new cases and more tion of Surgeon-General J. G. MacNeece. Sir accurate investigations, he very properly returned Watson asked what had been the result, if Cheyne to the former nomenclature, which has since been of the private inquiry by the Army Council any, maintained by nearly every author on the subject. in conThe morphology of the condition is now well estab- into the charges made against this officer in nexion the when with Mesopotamia, campaign lished and consists in an endarteritis and endoMr. in as follows :wrote reply Macpherson phlebitis obliterans, which commence in the vessels The Army Council have received and considered a stateof the subcutis and extend gradually to the capil- ment of MacNeece in regard to the laries of the whole derma. This vascular occlusion findings of Surgeon-General the Mesopotamia Commission in his case and is produced by proliferation of the inner and middle have formed the opinion that no blame can be attached to in regard to the manner in which he carried out his coats, the tunica adventitia not sharing in the pro- him duties in connexion with the medical services during the a there on the cess, contrary, slight degree campaign. being, of perivascular lymphocytic infiltration. Hyaline That the private inquiry had arrived at this condegeneration of the vessels then ensues, with the clusion was made known to Surgeon-General formation of aneurysmal dilatations, which rupture, MacNeece in a confidential memorandum from giving rise to haemorrhage and pigmentation. Still the War Office, but as that memorandum is worded later on there are phenomena of cedema, with atrophy in the terms of Mr. Macpherson’s official and degeneration in the epidermis and whole skin. exactly statement there can be no indiscretion in stating All these aspects were typically present in a case the fact. But now comes the singular thing. The recently described by Dr. Carlo Ruhl, of the Royal Council have decided that they do not see Dermatological Institute of Turin,l in which the Army their way clear to giving publicity to their decision. dermatosis was symmetrical and limited to the In other words, Surgeon-General MacNeece can be lower extremities from the dorsum of the foot to blamed by the Mesopotamia Commission, the inguinal fold, and had existed for three months. publicly but cannot be publicly cleared by the Army Council. The chief interest of the case, however, consists in We confess to being entirely unable to understand the light it throws on the vexed question of the either the justice or the logic of such manners, and etiology of the disorder. Most observers are agreed hope that all those who derived a wrong impression that neither syphilis nor tuberculosis plays any part from the Report of the Mesopotamia Commission in its causation, while Vignolo-Lutati disclaims any as to this officer’s behaviour will take notice that absolute exclusivisms and believes the disease to the Army Council, after inquiry into the charges 1 II made against him, have given him full exoneration. Morgagni: Archives, Jan. 31st, 1918.