Re: Other Considerations
I am grateful to Clinton Bashore for his reflections on my article
personal history. Patients with CVS frequently have a wide range of
reactions and many have atopic dermatitis ('eczema'). Foodstuffs, in
particular milk products and chocolate, may act as a 'trigger' to initiate
attacks of vomiting.
Darwin almost certainly had allergies and eczema of his lips was one
first symptoms. Furthermore, he was known to have a penchant for
puddings, particularly custards. However he did try many different diets;
only one recorded as being of value was the raisin diet prescribed by his
father, a diet that helped his sea-sickness. Any milk consumed would
have been unpasteurized– brucellosis was an earlier proposed diagnosis for
Darwin may well have had allergy to milk protein but this was part of
primary disorder, not the cause of it.
1. Abell, T.L., et al., Cyclic vomiting syndrome in adults.
Neurogastroenterol Motil, 2008. 20(4): p. 269-84.
2. Darwin, C., Letter 158 to R W Darwin. Darwin Correspondence
3. Simpson, G.G., Charles Darwin in search of himself. Scientific
1958. 199(Aug): p. 117-122.
Competing interests: No competing interests