Portal de Periódicos da CAPES

Anxiety, Alopecia Areata, Neurofibromatosis, Auricular Fibrillation

1944; BMJ; Volume: 1; Issue: 4344 Linguagem: Inglês

10.1136/bmj.1.4344.486

0959-8138

D. Hubble, Christian M. Rogerson,

Genetic and rare skin diseases.

The following account of a patient is published because he displayed three disorders whose aetiology and pathogenesis are unknown.His fourth disorder-a psychological state dependent on an unusual personality-appeared to us to stand in aetiological relationship to two of his three abnormal physical states. Case RecordThe patient, a lhouse-painter aged 39, was referred to the Derby- shire Royal Infirmary on May 5, 1943, by Dr. Eileen Crowley for treatment of auricular fibrillation. Personal HistoryHis childhood was quite normal, healthy, and happy.He does not recall any fears or anxieties as a boy.He was the leader of a small group of boys who were rather " young devils."At the age of 12 he passed the necessary examination to enable him to leave school, and he went to work as a riveter's mate.By the time he was 14 he had held a variety of jobs and was earning £2 15s. a week (1918).He was restless and ambitious, and had come to realize how many limitations there were in the life of his childhood; he saw no reason why he should not go a long way.He began to serve an apprenticeship in the carriage-and-wagon works (Midland Railway), but could not tolerate the attempts of the older men to put him in his place.He had a row with one of them and walked out, thinking that he could easily get another job.The post-war difficulties had then begun and he was unable to get work.His pride was hurt, so he falsified his age and joined the Grenadier Guards at 15 years.His father got him out again, but only by paying a forfeit.He was still unable to get a job, and was burning with resentment.