Kent's cases 47: Hemophilia - Lachesis Lachesis

History.
Has been a bleeder since birth. Just before he was
born his mother had a tooth extracted, and the bleeding from the gum could
not be stopped for a long time. 


Every scratch or little cut he had would keep on
bleeding until he was almost exsanguinated and then the wound would
heal. Had smallpox when a year old.
At 12 years of age he sustained a small cut on
forearm, the haemorrhage from which could not be stopped. Suturing was
attempted in Pennsylvania Hospital, but this only increased the bleeding
points.
Was in Hospital for 5 weeks, and when he was
"bled out" the wound healed. Fracture of right thigh bone and delayed
union-8 weeks before any union was observed.
Every slight bruise followed by extensive
ecchymosis. Epistaxis continued for 3 or 4 days once. Rheumatism for the
past two years, since the development of which the bleedings have not been
so troublesome.
Just before coming here he has been in bed for
two months suffering from "inflammation of bowels" and haemorrhage till
he was "bled out."
June 2, 1896.
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Present symptoms. Rheumatic pain in knees and
elbows; can hardly stand. Swelling of the knees. Pale from bleeding.
Bleeding from gums constantly. Small wounds bleed much. Small bruise
makes him black and blue. Great thirst for, water; hydrant water satisfied.
Lach. 41m., one dose.
July 29.-
Felt first rate until July 2d. Rheumatism returned
to elbows-left first.
Lach. 41m., one dose.
Aug. 22. Improving constantly.
Dec. 7. Stiffness in knees and elbows.
Lach. 41m., one dose.
Jan. 30, 1897. Some stiffness returning.
Lach. cm., one dose.
Sept. 6. No symptoms.
Oct. 5. Some bleeding. Rheumatic swelling in
right elbow; only lasted a short time.
Lach. cm.
Dec. 15. Bleeding again.
Lach. cm.
March 19, 1898. Bleeding again. Rheumatic
symptoms returning. Stiffness in elbow.
Lach. mm.
July 16. Only some stiffness in left elbow.
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