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PEPTIC AND DUODENAL ULCER IN TABES DORSALIS

1931; American Medical Association; Volume: 96; Issue: 2 Linguagem: Inglês

10.1001/jama.1931.02720280013004

1538-3598

EDWARD LIVINGSTON HUNT,

Hypertrophic osteoarthropathy and related conditions

Our object in this paper is to report four cases of gastric and duodenal ulcer with tabes dorsalis. In each instance the patient had been under observation, the clinical diagnosis had been agreed on, and the autopsy had been made. The combination of ulcer and tabes is uncommon. Not many cases have been reported and there have been very few in which there has been an autopsy. In this country Crohn has done most of the work on this subject; in France, Roux, Carnot and Bruyere. In Germany, also, a few cases have occurred. Just why a gastric or duodenal ulcer should complicate tabes is not clear. Some one will suggest that it is akin to the ulcer of the foot and therefore a trophic change. The answer is that the ulcers in our four patients showed no evidence either of syphilis or of a malignant condition, but did show