Abstract
Summary
Following the loss of his right eye at Calvi in 1794, Lord Nelson suffered increasing left-sided visual loss, here considered most likely to have been due to the ocular inflammatory condition ‘sympathetic ophthalmia’. It is also argued that his succeeding episodes of violent headaches with nausea and prostration, and possible depigmentation of hair, reflected the development of an uveomeningoencephalitic syndrome akin to that of Vogt–Koyanagi–Harada disease, which is best regarded as the same condition with a different aetiology.
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References
1.Cliff K. Mr. Lock: Hatter to Lord Nelson and his Norfolk neighbours . London: Wendy Webb Books, 2010 .
2.Walder D. Nelson . New York, NY: Dial Press, 1978 .
3.Ibid. p.376 .
4.Nelson H. Letters and dispatches of Horatio Viscount, Nelson, KB. In: Laughton JK (ed) ▪▪. London: Longman, Green and Co., 1886 .
5.ibid. Letter to Lord Howe, 8 January 1799
6.ibid. Private Court of Examiners’ Company of Surgeons; Lincolns Inn Fields. National Maritime Museum. PGR/24
7.ibid , p.271
8.Various Additional Manuscripts. 1805. London, National Maritime Museum .
9.Oman C. Nelson . London: Hodder and Stoughton, 1947 .
10.Additional Manuscripts. 1805. London, National Maritime Museum. 28333 .
11.Howarth D and Howarth S. Nelson: the immortal memory. London: JM Dent, 1988 .
12.Hamilton E. Letters to Lady Hamilton, the Project Gutenberg eBook of the Letters of Lord Nelson to Lady Hamilton .
13.ibid. Letter VIII to Lady Hamilton. 28 January 1801
14.Letter from Lady Nelson to a Davison 20 February 1801; National Maritime Museum, London. DAV 2/29 .
15.Letter from Lady Nelson to a Davison 13 May 1801; National Maritime Museum, London. DAV 2/28 .
16.Trotter T. Medicina nautica . An essay on the diseases of seamen . 2nd ed. London: Longman, Hurst, Reed and Orme, 1804 .
17.Hamilton E. Letters to Lady Hamilton, the Project Gutenberg eBook of the Letters of Lord Nelson to Lady Hamilton .
18.ibid . Letter to Dr. Benjamin Moseley 11 March 1804
19.Hills A-ME. Nelson, a medical casebook . 1st ed. Stroud: Spellmount, 2005 .
20.Nelson H. Letters and dispatches of Horatio Viscount, Nelson, KB . London: Longman, Green and Co., 1886. Letter to A. Davison, dated 8 February 1803 .
21.Hamilton E. Letters to Lady Hamilton, the Project Gutenberg eBook of the Letters of Lord Nelson to Lady Hamilton. Letter dated 7 December 1803 .
22.Various Additional Manuscripts. 1805. London, National Maritime Museum. MAM/28 .
23.Nelson H. Letters and dispatches of Horatio Viscount, Nelson, KB . London: Longman, Green and Co., 1886. Letter to Dr. Beatty, March 1804 .
24.Nelson H. Letters and dispatches of Horatio Viscount, Nelson, KB . London: Longman, Green and Co., 1886 Letter to Sir Edward Pellew, 1 May 1804 .
25.Leonard Gillespie to HN 12 April 1805. National Maritime Museum. CRK 6/51 .
26.Nelson H. Letters and dispatches of Horatio Viscount, Nelson, KB. London: Longman, Green and Co., 1886. Letter to Lord St. Vincent, 10 August 1798 .
27.Nelson H. Letters and dispatches of Horatio Viscount, Nelson, KB . London: Longman, Green and Co., 1886. Letter to Lord St. Vincent, 19 August 1798 .
28.Hamilton E. Letters to Lady Hamilton, the Project Gutenberg ebook of the letters of Lord Nelson to Lady Hamilton. Letter VI to Lady Hamilton, dated 20 February 1800 .
29.Nelson H. Letters and dispatches of Horatio Viscount, Nelson, KB . London: Longman, Green and Co., 1886 .
30.Nelson H. Letters to Lady Hamilton, the Project Gutenberg eBook of the letters of Lord Nelson to Lady Hamilton. Letter VXVIII to Lady Hamilton, dated 26 September 1801 .
31.Hamilton E. Letters to Lady Hamilton, the Project Gutenberg ebook of the Letters of Lord Nelson to Lady Hamilton. Letter XXI to Lady Hamilton, dated 15 October 1801 .
32.Fine BS and Gilligan JH. The Vogt-Koyanagi syndrome. Am J Ophthalmol 1957; 43: 433–440 .
33.Coleman T. Nelson . London: Bloomsbury, 2001 .
34.▪▪. Letter from Lady Elgin. In: Walder D (ed) Nelson. New York, NY: Dial Press, 1978, p.347.
35.Mackenzie W. A practical treatise on the diseases of the eye . 3rd ed. London, Longmans, 1840 .
36.Zhang Y, Zhang M-N, Jiang C, et al. Development of sympathetic ophthalmia following globe injury. Chin Med J 2009; 122: 2961–2966 .
37.Albert DM and Diaz-Rohena R. A historical review of sympathetic ophthalmia and its epidemiology. Surv Ophthalmol 1989; 34: 1–14 .
38.Damico FM, Kiss S and Young LH. Vogt-Koyanagi-Harada disease. Sem Ophthalmol 2005; 20: 183–190 .
39.Rathinam SR, Namperumalsamy P, Nozik RA, et al. Vogt-Koyanagi-Harada syndrome after cutaneous injury. Ophthalmology 1999; 106: 635–638 .
40.Johnson WC. Vogt-Koyanagi-Harada Syndrome. Arch Dermatol 1963; 88: 146–149 .
41.Yang P, Wang H, Zhou H, et al. [Therapeutic regimen in Vogt-Koyanagi-Harada syndrome]. Zhonghua Yan Ke Za Zhi 2002; 38: 196–199 .
42.National Maritime Museum, London UK; enclosed in William Beatty letter MSS/73/028 .
43.Read RW, Holland GN, Rao NA, et al. Revised diagnostic criteria for Vogt-Koyanagi-Harada disease: report of an international committee on nomenclature. Am J Ophthalmol 2001; 131: 647–652 .
44.Yang P, Wang H, Zhou H, et al. [Clinical manifestations and diagnosis of Vogt-Koyanagi-Harada syndrome]. Zhonghua Yan Ke Za Zhi 2002; 38: 736–739 .
45.Rajendram R EMRNA. Vogt-Koyanagi-Harada disease. Int Ophthalmol Clin 2005; 45: 115–134.