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Acromesomelic Dysplasia

Acromesomelic Dysplasia is an extremely rare inherited progressive disorder characterized by premature fusion of the regions (metaphyses) where the shafts (diaphyses) of certain long bones (i.e., bones of the arms and legs) meet their growing ends (epiphyses). As a result, affected individuals exhibit unusually short forearms, abnormal shortening of bones of the lower (distal) legs, and short stature (short-limbed dwarfism), findings that typically become apparent during the first years of life. Abnormal cartilage and bone development may also affect other bones of the body, particularly those of the hands and feet (i.e., metacarpals, phalanges, metatarsals). At birth, the hands and feet may appear abnormally short and broad. Over time, the apparent disproportion becomes even more obvious, especially during the first years of life. The fingernails and toenails may also appear unusually short and wide.

Affected individuals may have additional abnormalities resulting from abnormal cartilage and bone development, including limited extension of the elbows and arms and/or progressive abnormal curvature of the spine. Other characteristic abnormalities include a relatively enlarged head (macrocephaly), slightly flattened midface, and/or small, pug nose. Acromesomelic Dysplasia is inherited as an autosomal recessive genetic trait. 

Relatively recent clinical studies have demonstrated that there are at least two forms that are distinguishable by X-ray and at the molecular level. The Maroteaux Type has been traced to chromosome 9 (Gene Map Locus 9p13-p12). The Hunter-Thompson Type has been mapped to chromosome 20 (20q11.2).

 

Remedy

Characteristics Symptoms

Patient Worse by

Patient Better by

Baryta Carbonicum Specially indicated in infancy and old age

This remedy brings aid to scrofulous children, especially if they are backward mentally and physically, are dwarfish, do not grow and develop, have scrofulous ophthalmia, swollen abdomen, take cold easily, and then always have swollen tonsils

Diseases of old men when degenerative changes begin;-cardiac vascular and cerebral

Very sensitive to cold

Offensive foot-sweats

Very weak and weary, must sit or lie down or lean on something

Very averse to meeting strangers

Hungry, but refuses food

Constipation, with hard, knotty stools

Diminished desire and premature impotence

Menses scanty

Talking in sleep; awakens frequently; feels too hot

Twitching during sleep

While thinking of symptoms

From washing

Lying on painful side

After warm food

Walking in open air
Calcarea Phosphoricum Anæmic children who are peevish, flabby, have cold extremities and feeble digestion.

Has a special affinity where bones form sutures or symphyses

 Numbness and crawling

Tendency to perspiration

Craving for bacon, ham, salted or smoked meats

Much flatulence

Great hunger with thirst flatulence temporarily relieved by sour eructations

Heartburn

Leucorrhœa, like white of egg

Weary when going upstairs

Exposure to damp, cold weather

Melting snow

From any change of weather.

In summer

Warm, dry atmosphere

Sulphur Ebullitions of heat, dislike of water, dry and hard hair and skin, red orifices, sinking feeling at stomach about 11 am, and cat-nap sleep;

Aversion to being washed

When carefully-selected remedies fail to act, especially in acute disease

Complaints that relapse

General offensive character of discharge and exhalations

Very red lips and face, flushing easily

Often great use in beginning the treatment of chronic cases and in finishing acute ones

Complete loss of, or excessive appetite

Putrid eructation

Food tastes too salty

Drinks much, eats little

Milk disagrees

Great desire for sweets

Great acidity, sour eructation.

Water fills the patient up

Must hurry, sudden call to urinate

Great quantities of colorless urine.

Menses too late, short, scanty, and difficult; thick, black, acrid, making parts sore

Leucorrhœa, burning, excoriating

Talks, jerks, and twitches during sleep

Vivid dreams

Wakes up singing

Wakes frequently, and becomes wide awake suddenly

Catnaps; slightest noise awakens

Cannot sleep between 2 an 5 am

At rest

When standing

Warmth in bed

Washing

Bathing

In morning

11 am

Night

From alcoholic stimulants

Periodically

Dry, warm weather

Lying on right side

From drawing up affected limbs

Baryta Muriaticum Called for in organic lesions of the aged and dwarfish, both mentally and physically

Acts on lower alimentary canal, especially rectum; on muscles and joints, giving stiffness and weakness as from over walking

Increased tension of pulse

General feeling of lassitude in the morning, especially weakness of the legs, with muscular stiffness

Children who go around with their mouth open and who talk through the nose; stupid-appearing, hard of hearing

Great increase in uric acid, diminution of chlorides in the urine

     
Calcarea Carbonica Increased local and general perspiration, swelling of glands, scrofulous and rachitic conditions

Gets out of breath easily

A jaded state, mental or physical, due to overwork

Pituitary and thyroid dysfunction

Easy relapses, interrupted convalescence

Persons of scrofulous type, who take cold easily, with increased mucous secretions, children who grow fat, are large-bellied, with large head, pale skin, chalky look, the so-called leuco-phlegmatic temperament; affections caused by working in water

Great sensitiveness to cold; partial sweats

Children crave eggs and eat dirt and other indigestible things; are prone to diarrhœa

Calcarea patient is fat, fair, flabby and perspiring and cold, damp and sour

Persistent sour taste

Mouth fills with sour water.

Offensive smell from mouth

Aversion to meat, boiled things; craving for indigestible things-chalk, coal, pencils; also for eggs, salt and sweets

Milk disagrees

Frequent sour eructations; sour vomiting

Dislike of fat

Loss of appetite when overworked

Heartburn and loud belching

Ravenous hunger

Repugnance to hot food

Thirst; longing for cold drinks

Frequent emissions; increased desire; semen emitted too soon

Coition followed by weakness and irritability

Menses too early, too profuse, too long, with vertigo, toothache and cold, damp feet; the least excitement causes their return

Leucorrhœa, milky

Increased sexual desire; easy conception

Ideas crowding in her mind prevent sleep; horrid visions when opening eyes

Starts at every noise; fears that she will go crazy

Drowsy in early part of evening

Frequent waking at night; same disagreeable idea always arouses from light slumber

Night terrors

Dreams of the dead

From exertion mental or physical

Ascending

Cold in every form

Water

Washing

Moist air

Wet weather

During full moon

Standing

Dry climate and weather

Lying on painful side

Carboneum Sulphuratum Patients broken down by abuse of alcohol

Sensitive patients worse cold, wasted muscles, and skin and mucous membranes anæsthetic

Lack of vital heat

Sensory difficulties in limbs

Diminished sensibility of arms, hands and feet

Frequent profuse emissions

Gait unsteady, tottering; worse in dark; feet insensible

Deep morning sleep with anxious, vexatious dreams

After breakfast

Bathing

Warm, damp, weather

In open air
Medorrhinum Great disturbance and irritability of nervous system

Pains intolerable; tensive; nerves quiver and tingle

Children dwarfed and stunted

State of collapse and trembling all over

Intensity of all sensations

Coppery taste and eructations of sulphuretted hydrogen

Ravenous hunger soon after eating

Very thirsty

Cravings for liquor, salt, sweets, etc, warm drinks

Can pass stool only by leaning very far back

Urine flows very slowly

Menses offensive, profuse, dark, clotted; stains difficult to wash out, urinates frequently at that time

Leucorrhœa thin, acrid, excoriating, fishy odor

Dreams she is drinking

Sleeps in knee-chest position

When thinking of ailment

From daylight to sunset

Heat

Inland

At the seashore

Lying on stomach

Damp weather

Oleum Jecoris Aselli Emaciation, lassitude, scrofulous diseases, rheumatic affections

Atrophy of infants; emaciation with hot hands and head; restless and feverish at night

Palpitation, accompanies other symptoms

Yellowness

Children who cannot take milk

    
Silicea Imperfect assimilation and consequent defective nutrition; it goes further and produces neurasthenic states in consequence, and increased susceptibility to nervous stimuli and exaggerated reflexes

Diseases of bones, caries and necrosis

Scrofulous, rachitic children, with large head open fontanelles and sutures, distended abdomen, slow in walking

Patient is cold, chilly, hugs the fire, wants plenty warm clothing, hates drafts, hands and feet cold, worse in winter

Lack of vital heat

Prostration of mind and body

Great sensitiveness to taking cold

Intolerance of alcoholic stimulants

Want of grit, moral or physical

Disgust for meat and warm food

Want of appetite; thirst excessive

Sour eructations after eating

Stool comes down with difficulty; when partly expelled, recedes again

A milky, acrid leucorrhœa, during urination

Discharge of blood between menstrual periods

Increased menses, with paroxysms of icy coldness over whole body

Night-walking; gets up while asleep

Sleeplessness, with great orgasm of blood and heat in head

Frequent starts in sleep

Anxious dreams

Excessive gaping

New moon

In morning

From washing

During menses

Uncovering

Lying down

Damp

Lying on left side

Cold.

Warmth

Wrapping up head

Summer

In wet or humid weather

Iodatum Rapid metabolism: Loss of flesh great appetite

Hungry with much thirst

Great debility, the slightest effort induces perspiration

Iodatum individual is exceedingly thin, dark complexioned, with enlarged lymphatic glands, has voracious appetite but gets thin

All glandular structures, respiratory organs, circulatory system are especially affected; they atrophy.

 Tremor

Craves cold air

Is warm, and wants cool surroundings

Weakness and loss of breath going upstairs

Offensive odor from mouth

Ravenous hunger and much thirst

Empty eructations, as if every particle of food were turned into gas

Anxious and worried if he does not eat 

Loss flesh, yet hungry and eating well

Urine frequent and copious, dark yellow-green, thick, acrid with cuticle on surface

Great weakness during menses

Menstruation irregular

Dwindling of mammary glands

Acrid leucorrhœa, thick, slimy, corroding the linen

When quiet

In warm room

Right side

Walking about

In open air

After eating

Lycopodium Is adapted more especially to ailments gradually developing, functional power weakening, with failures of the digestive powers, where the function of the liver is seriously disturbed

Atony

Malnutrition

Mild temperaments of lymphatic constitution, with catarrhal tendencies; older persons, where the skin shows yellowish spots, earthy complexion, uric acid diathesis, etc; also precocious, weakly children.

Intolerant of cold drinks; craves everything warm

Best adapted to persons intellectually keen, but of weak, muscular power

Deep-seated, progressive, chronic diseases

Emaciation

Debility in morning

Patient is thin, withered, full of gas and dry

Lacks vital heat; has poor circulation, cold extremities

Pains come and go suddenly

Sensitive to noise and odors

Bad odor from mouth

Dryness of throat, without thirst

Excessive hunger

Aversion to bread, etc

Desire for sweet things

Food tastes sour

Sour eructations.

Great weakness of digestion

Eating ever so little creates fullness

Cannot eat oysters

Rolling of flatulence

Wakes at night feeling hungry

Incomplete burning eructations rise only to pharynx there burn for hours

Likes to take food and drink hot

Stool hard, difficult, small, incomplete

Polyuria during the night; heavy red sediment

Child cries before urinating

No erectile power; impotence; premature emission

Menses too late; last too long, too profuse.

Leucorrhœa, acrid, with burning in vagina

Drowsy during day

Starting in sleep

Dreams of accidents

right side, from right to left, from above downward, 4 to 8 pm; from heat or warm room, hot air, bed. Warm applications, except throat and stomach which are better from warm drinks By motion

After midnight

From warm food and drink

On getting cold

From being uncovered

Mercurius Decrepit, inflamed and necrotic wrecks

Tremors everywhere

Weakness with ebullitions and tremblings from least exertion

Complaints increase with the sweat and rest; all associated with a great deal of weariness, prostration, and trembling

A human "thermometer"

Sensitive to heat and cold.

Breath, excretions and body smell foul

Tendency to formation of pus, which is thin, greenish, putrid; streaked with thin blood

Sweetish metallic taste

Salivary secretions greatly increased; bloody and viscid

Saliva fetid, coppery

Speech difficult on account of trembling tongue.

Great thirst, with moist mouth

Constant desire to swallow

Putrid eructations

Intense thirst for cold drinks

Weak digestion, with continuous hunger

Urine dark, scanty, bloody, albuminous

Menses profuse, with abdominal pains

Leucorrhœa excoriating, greenish and bloody; sensation of rawness in parts.

At night

Wet, damp weather

Lying on right side

Perspiring

Warm room and warm bed

Damp, cold, rainy weather,

    
Secale Contraction of the unstriped muscular fibers; hence a constringent feeling throughout the whole body

For old people with shriveled skin-thin, scrawny old women

All the Secale conditions are better from cold; the whole body is pervaded by a sense of great heat.

Debility, anxiety, emaciation, though appetite and thirst may be excessive

Unnatural ravenous appetite; craves acids

Thirst unquenchable

Eructations of bad odor

Involuntary stools; no sensation of passing feces, anus wide open

Brownish, offensive leucorrhœa

Menses irregular, copious, dark; continuous oozing of watery blood until next period

Heat

Warm covering

Cold

Uncovering,

Rubbing

Stretching out limbs

Zincum Metallicum Tissues are worn out faster than they are repaired

Poisoning from suppressed eruptions or discharges

Defective vitality

Great relief from discharges

 In chronic diseases with brain and spinal symptoms, trembling, convulsive twitching and fidgety feet

Cannot stand smallest quantity of wine

Ravenous hunger about 11 am

Great greediness when eating; cannot eat fast enough

Can only void urine when sitting bent backwards

Involuntary urination when walking, coughing or sneezing

Erections violent

Falling off of hair (pubic).

Menses flow more at night 

Complaints all better during menstrual flow

All the female symptoms are associated with restlessness, depression, coldness spinal tenderness and restless feet

Cries out during sleep; body jerks; wakes frightened, stared

Nervous motion of feet when asleep

Loud screaming out at night in sleep without being aware of it

At menstrual period

From touch

Between 5 to 7 pm

After dinner

From wine

While eating

Discharges

And appearance of eruptions

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