File:The diseases of infants and children (1919) (14780974074).jpg

Identifier: diseasesofinfant01grif (find matches)
Title: The diseases of infants and children
Year: 1919 (1910s)
Authors: Griffith, J. P. Crozer (John Price Crozer), 1856-1941
Subjects: Infants Children Disease Pediatrics
Publisher: Philadelphia, London, W.B. Saunders company
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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Fig. 213.—Ixfaxtile Scurvy. Infant of 8 niontlis. Wfll nourished. Fed upon Horlirks Malted Milk. Fretful, ner-vous, pain in the l(t;s. Had boon suffering for 3 weeks. Recovered in 3 days. Illustrationshows the swollen, purple gums about the upper incisors, and the purple streaks in the gumsof the lower jaw. SCORBUTUS 607 of the mucous membrane, generally over the upper incisior teeth, some-times so decided that the teeth become entirely concealed (Fig. 213).Slight hemorrhage from the gums, or from the palate or pharynx takesplace readily and ulceration is not infrequently present. As a rule theinvolvement of the gums occurs only in infants whose incisor teeth havealready erupted, but this is because the disease is seen so much oftener in
Text Appearing After Image:
• Fig. 212.—Infantile Scurvy. A\ mitk Lim;.Same case as in Fig. 211. Radiograph made Feb. 11. Treatment witli urange-juiic was instituted, and symptoms were proniptly relieved,ance of the white line Radiograph shows the disappear- those past the age of the first appearance of teeth. In 45 cases in theAmerican Pediatric Societys series no teeth had been cut and in 24 ofthese the gums were affected. Often at this time sirelling along the shaftof the long bones can be found. This is hard and tender and is situateilusually in proximity to a joint, oftenest (hv ankle or the knee, but docs notinvolve it. The swelling may be bilateral, with the skin over it shining 608 THE DISEASES OF CHILDREN but usuallj not reddened (Fig. 214). It may be only slight, but is notinfrequently extensive, increasing greatly the general size of the limb.In severe cases the affected limb may become extensively edematous.Quite often hemorrhages in the form of ecchymoses or petechias are seenelsewhere in variou

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