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Some Points in the Relation of Diabetes to Insanity

  • C. Hubert Bond (a1)

At the outset it should be stated that, if the term diabetes is to necessarily include the three cardinal symptoms—permanent glycosuria, polyuria, and thirst—the term glycosuria should be added to the title of this paper. For several of the cases upon which it is based, and which, at the request of Dr. Claye Shaw, I am about to communicate to the Association, exhibit little beyond more or less permanent glycosuria. But, inasmuch as there is no abrupt line of demarcation between classical cases of diabetes and those where one or more of the symptoms are absent, and inasmuch as it has already been pointed out by other writers that the presence of mental symptoms is apt to mask the bodily ones, and, further, since allusion will be made to a few possible cases of diabetes insipidus, it has been deemed best to adhere to the original title which appeared in the list of subjects suggested for discussion at this meeting.

∗ Read at the Annual Meeting of the British Medical Association, held in London, August, 1895.

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“The Pathology of Mind,” 1879, p. 113.

“Theory and Practice of Medicine,” Bristowe, 7th edition.

§ “Principles and Practice of Medicine,” Fagge, 3rd edition, Vol. ii., p. 685.

“Brit. Med. Journal,” 1890, Vol. ii., p. 1184.

For references to these, vide Tuke's “Dict. of Psychol. Med.,” Vol. ii., p. 1349.

“Insanity and Allied Neuroses,” Savage, 2nd edition, p. 411.

§ “Mental Diseases,” Clouston, 3rd edition, p. 636.

“Alternation of Neuroses,” “Journ. Ment. Science,” Vol. xxxii., p. 490.

For a good example of cessation of glycosuria on the removal of anxiety and other trouble, vide “B. M. J.,” Oct., 1893.

Certain possibly similar changes were described by Fleiner, under the name of arterio-sclerotic. (“Berl. Klin. Woch.,” Jan., 1894).

Grube, , “Brit. Med. Journ.,” Vol. i., 1895.

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Some Points in the Relation of Diabetes to Insanity

  • C. Hubert Bond (a1)
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