172 PORTO RICO JOUR1'UL OF PUBLIC HEALTH AND TROP. :a.lEDICI\E CA8l:& IN WHICH BEllOGLOBIN PERCENTAGE WAS TAKEN AND ImVTHItOCYTltB COUN TED Hemoglobinemia and Secondary Anemia (non-megalobla.1tio anemia) Total nuxnber <strong>of</strong> such cases 9 Casel <strong>of</strong> spruc 34 Average hemoglobin percentage 63.4 Cases with 5,000,000 cells per cmm. or over 15 Cases with 6,000,000 cells per cmm, or over___ _________________ ______ ~ Cales with 7,000,000 cells per cmm. or over 11 Average erythrocyte count per cmm, 4,876,470 Cases <strong>of</strong> Digestive incompetence 85 A'I"erage hemoglobin percentage 61.1 Cues with 5,000,000 cells per cmm. or over 17 Cases with 6,000,000 cells per cmm. or over .:_____ 8 Cases with 7,000,000 cells per cmm . or o\'e£- _________________________ 5 Average erythrocyte count per cmm. 5,314,485 (One ease had 8,440,000 and another 10,232,00D-the latter a child <strong>of</strong> two years.) LOiS <strong>of</strong> weight in above casea : Average <strong>of</strong> 24 cases <strong>of</strong> sprue 28. 1 pounds Average <strong>of</strong> 23 eas es <strong>of</strong> digestive incoxnpetence___ 17 pounds Average hemoglobin for all 69 cas es 65,7 Average eryt hr ocyte count for all 69 cases 5,098,550 per cmm, Pernicious types <strong>of</strong> Anemia (Megaloblastic Anem ia.} Total num ber <strong>of</strong> such cases 42 Cases <strong>of</strong> Sprue 38 Average hemoglobin percentage 49. 6 Cases with from 4,000,00D-5,000,000 cells per c=.__________ ______ __ ° Caaea with 5,000, 000 or more cells p er cmm. 1 Cases with 3,OOO,00D-4,000,000 cella p er emxn.________________________ 6 Cases with 2,000,00D-3,000,000 " " ,, 16 Casea with 1,000,00D-2,000,000 " " " 15 Average erythrocyte count per emrn, 2,371,447. Cases <strong>of</strong> Digestive Incompetence____________________________________ ~ Average hemoglobin percentage 47 CMea with 8,000,000 to 4,000,000 or more cella per enun.____________ ___ 1 Cases with 2,000,000 to 3,000,000 or more cella per emm. _______________ I Cases with 1,000,000 to 2,000,000 or mor e cella per emm. _____________ __ 1 Cases <strong>of</strong> unknown etiology___________________ _______________________ 1 Av erage hemoglobin perccntage 32 Average erythrocyte coun t per cmm. 2,272,000 Len <strong>of</strong> weig ht in above eases : Average <strong>of</strong> 38 cas as <strong>of</strong> sprue Average <strong>of</strong> 3 cases <strong>of</strong> digestive incomp cte nce 37.1 pounds 31.6 pounds In eleven <strong>of</strong> these forty-two cases the eolor index was less than 1, hut there were other reasons for considering them cases <strong>of</strong> pernicious
SUGGESTIONS FOR A RAPID CI,A8SIFlCATION OF THE ANEMIAS, ETC. 173 anemia which, in the writer's mind, outweigh' this apparent discrepancy, notably, the greatly increased mean and median diameters. The average diameter <strong>of</strong> red cells, superior to 8 microns, in twenty-nine cases was 9.51 microns. The average diameter <strong>of</strong> red cells, inferior to 7.7 microns, in three cases was 6.22. Of the total forty-two cases, eighteen were demonstrated by their prompt response to liver extract to be dysplastic; eight by their failure to respond to this substance seemed to be hypoplastic. In the remaining sixteen cases either the time .element ,f or correct observation has been too short or they have failed to return for treatment and no classification is possible. Divided according to age periods, 206 <strong>of</strong> these cases are as follows: Syndrome Five·year age period s Nutritional Unbalance 8pru~ Total --- --- 1- • . . . •. •. • •. . . . . . . . I 3 4, ll-- 9. . ..... . . . .. .. . . .. .. . I I 2 IG-I4 , . 1 3 ( 1ll--19 _ . 2 5 7 20-24 . Jl 7 18 25-211 . 12 11 23 30-31 .. 10 12 22 35-39. . •. . .•. •. . . . . ... .. . . . . . . •... . . .. 18 13 31 4G-44 , . 7 14 21 .5-