Vol. 60, 1909 - University of North Carolina at Chapel Hill

4in THE CHARLOTTE MEUICAI. JOUKNA).
ble, and though the children often looked organs. These occur especially at the time
moribund it was wonderful, if the treatment when the bones have not sufficient strength
was properly carried out—no drugs and to suBtain the body. The exudative diaplenty
of saline by the bowel—how they thesis is an individual condition, in part
recovered. Once they had got over the hereditary, under favorable conditions reshock
he was no longer anxious about them, maining latent, but brought into action by
The writer thought tue method was very errors in diet in the nature of an excess of
sound. fats. The lesions affect the skin, mucous
Acute Lcucocythacmla in a Child Aaed
membranes and internal organs, there be-
Eight Years.-Lapage (British Journal of
i"S transient periods of turgescence. Only
by frequent repetition do these
Children's Diseases) says that the
causechanges
first
svmptoms of the illness were headaches, ^^^ '''^ permanent. The characteristic of
'^se manifestations is their
some wasting, and a slight discharge from
evanescence,
J
^j'^>the
ear, with drowsiness, and irritability if
-'^^P^^' at a very early age and lessen
afterlhe second
roused. After these svmptoms had
year of life. As to heredi-
lasted
.v "'Auences
for 7 to 8 days the child began to vomit and
we recognize advanced age
^f ot the progenitors, debilitating diseases, etc.
to complain of tingling and numbness of
the fingers of both hands. There was no
The 'l.athesis generally occurs among the
working classes, less often
historv of haemorrhage, m persons of
tonsilitis, diarrhoea,
^e'^^''^:
dropsv, fainting or impairment of vision,
^}'^ geographical tongue, lasting
=* On admission three weeks after the begin- ^^^ few days at a tune, is noted as one of
the manifestations of this state
ning of the illness the temperature was
accompa-
100°, and there were chains of enlarged
"'ed by no disturbance of health and apglands
in the axiUcE, the groins, the an- Pe^""S "-several member, of the sarne
terior triangles of the neck,' the glands be- ^^^'^'^y- ^^e tonsils and pharynx' are sub-
,
ing discrete and none of them larger than ^^''\ *« ^lie transitory periods of congestion
a
irritation the
pea. There was no cedema,
nose being stopped up
otorrhoea, or ^"^l
exophthalmos. A dyspnea being caused by the swelling,
slight degree of vomit- f?'f,
Collections of secretion
ing was present. The m the tonsillar
stools were loose, but
showed no other abnormality. The spleen "'y?^^ "^^7 occasion foul breath and anoreached
down below the brim of the pelvis, ^^,^1^- "y. ^ Peruiaiieiit hypertrophy
^"f
and the liver reached to one inch below the ° ^^ t°"«'^? ^"^^,?, ^'" frequent repetition
^.^'^^^^^- I.l'e extirpation of
costal margin. There were
such
signs of con- f ^^.f
'^
solidation at the base of the right lung.
"^^ advisable. Acute bronchial
^°J^^'\^
"=»^'^^' characterized
The reflexes were
by asthma, with lit-
increased. Kernig's sign
f
^^^
was present, but not well marked. fecretion and no physical signs come
Babin-
^"der this head.
ski's sign was present on
The conjunctival and
the right side,
^^^''^^^ mucosa,
The
and even the intestinal
blood count gave reds 1,600.000, whites
4,52,000, hb. 35 per cent., index
^^'^^"^ membrane may be affected.
1.1. There \ ariwas
an enormous number of large lympho-
°^« cutaneous eruptions occur, \ellowish
'^''^^t^.'
cytes. The blood was whitish
^^^ removal of vvhich leaves a wet,
in appearsecreting
surface,
ance, resembling blood mixed
may form on the infant's
with pus. It
was less coagulable than normal. Death ^^'^^P;, strophulus urticaria, and pustules
are
occurred one week
a" caused in this vyay. 1 hese
after admission. The
mam-
testations occur suddenly and disappear as
spleen diipinished in size during the last
quickly linlargement of the liver ,s an-
days of life; post mortem, that organ show-
°^^^' frequent manifestation,
ed'earlv fibrosis. The bone marrow
hxamina-
of the
femur and sternum was red in color, and '""/^ ^^^ ^'°°^ ^"^ """? '" "'^' °^ }^'^
that of the ribs apparentlv normal. Pneu- ^"''^ ^^^^ "° unusua phenomena. The
treatment of this condition exists in giving
monia was present in the lungs, and there
enough food to sus
were ecchymoses on am life, the foods
the visceral surface of
f"^>'
^^'^^ '^^"^^ formation of fats being cut out
the pericardium, sections of which showed
infiltration of lymphocytes. A terminal in- of the diet. If the infant is nursing, the
fection with streptococci and staphylococci mother must employ such a diet as will rewas
found.
Tlic Exudative Diathesis.— \^ e n t u r a
duce the amount of cream in her milk. The
child should have change of air at the same
( Kiv. di Clin. Fed. ) states that in infancy, time. Medicinal treatment is directed only
and especially in the nursling, several phe- toward palliating the local svmptoms.
nomena natural to that time of life and
others that are of a pathological nature The Diagnosis ol Beginning Tabes.group
themselves into a sort of exudative Kaiin ( Berliner Kliiiische Wochenschrift)
diathesis, determining oscillations of turges- speaks of the importance of early recognicence
in the various internal and external tion of tabes, because so much can be done