The Colfax chronicle. [volume] (Colfax, Grant Parish, La.) 1877-1981, 1882-11-11
An Ailinx Prince.

Prince Leopold is known 10 suffer from
constitutional weakness, with liability to
ags-hematophilia OF this
malady he has recently had an attack.
Hematophilia ten years ago had no place
in the College OF Physicians ..Nomerl- =
clature of Diseases The malay is in
teresting for several features other thn,
the tendency To spontaneous hemorr-
hage. or to bleeding from slight trumatic
causes; such. for example, IS the great
proclivity to painful swelling Of the
joints. dependent or not upon injury, tho
fact of the morbid condition being in
many cases congenital. and its TRANSMITS
sion hereditary to males especially. All
these points hare been fully dealt with
by writer's, but it may be useful to sag :
few words about them again here.
The joint affection was well Illus
trated in case communicated
to the Clinical Society by SIR
william Jenner during his presi-
dency. Sir William. in the course of his
ren,as.';>s an the case. spoke of the joint.
affection In .heinatophilia as being 0f
three varicties-viz., q spoatapuolfs'
swelling. with Tenderness, and lA,thttls,
effIsion; large effiision, with or without
hemorrhage; and Standardization simply
this last being the rarest. The occnrrs
renee OF blood in the cavity of the joint
does not appear always to be related 70
traumatism, but the great liability to
severe joint affection following slight
injuries accords with the similar prone.s:
ness to cutaneous hemorrhage. As to
the nature of this remarkable condition,
everything points 70 its being dependents
on some congenitdl defect in the vascular
system, not necessarily inherited, but at
the same time most liable to be trans
mitted by inheritance when once It APP
pears. Such observations As have been
made on the blood do not show much
marked alteration in its constitution.
Sir William Jenner, speaking on the oc-s
casio,s towhich we refer. seems TO have
thought the blood was slow in coagulat-
ing. but this alone cannot explain the
liability of hemorrhage. Another fact,
also alluded to by Sir William Jenner, is
that the 5leedings occur often when the
patient is most healthy, and he believed
that in these subjects blood is formed
rapidly, aad there is a tendency to pleth-
ora Of the smaller vessels. The most
important fact Of all. however. is that
which concerns hereiity in this disease.
In its proneness to be transmitted by in
heritance hematophilia occupies FORE
most place, and this fact of itself seems
TO show that its nature is rather defect
or abnormality in development than an
actual morbid process. 1t may be hoped
that thepresent indispostion OF the Duke
of Albany is not of serious character, and
that his Royal Highness will make good
recovery; but it is abundantly evident
that the avoidance of any considerable
exertion must be continued for some
time 10 come, and the Duke will need to
regard himself as an invalid. The state
of his Royal Highness' health clearly
neeessitates more than ordinary caution
in the expenditure of strength. The care
which the Duke OF Albany is receiving
from those about him is likely to carry
him through the present trouble, and
such self-resirainta as he must be enjoined
to practice vigorously in the future viii,
il is hoped, be successful IN preserving a
life which. like that OF evcry other mem-,
Der of the reigning family, is dear to the
heart OF loyal people. The Lancet.