. Journal of the Medical Society of New Jersey. s free, were sharplymarginated lesions withred borders, greasy-gray incolor, with numerous stri-atums ; on the backs of thehands and the wrists werelesions of the same char-acter with exaggerated fur-rows, and inky-black incolor; the palms were en-tirely free. Small patches* were situated on each el-bow and on each knee;three were found along thespinal column, one in thegluteal cleft, and one oneach foot back of the bigtoe. He complained of weakspells, and tired easily. He corn or maize, although hismother informed me thatthe natives are large us
. Journal of the Medical Society of New Jersey. s free, were sharplymarginated lesions withred borders, greasy-gray incolor, with numerous stri-atums ; on the backs of thehands and the wrists werelesions of the same char-acter with exaggerated fur-rows, and inky-black incolor; the palms were en-tirely free. Small patches* were situated on each el-bow and on each knee;three were found along thespinal column, one in thegluteal cleft, and one oneach foot back of the bigtoe. He complained of weakspells, and tired easily. He corn or maize, although hismother informed me thatthe natives are large usersof Indian corn. The boys father diedof pneumonia, one sisterof diphtheria. His motherand brother are at presentin good health. In February, 1908. theboy fell from a rocking-chair, striking the back ofhis head against a stove. In March, 1908. blackrings were first noticedaround the eyes, then apatch across the nose, grad-ually extending over therest of the face. Hishands were first reddened,then peeled, then becamethickened and fissured. The. Figure 2. By courtesy of the Journal of Cutaneous Diseases. 6o8 Journal of the Medical Society of New Jersey. May, 1910. had a slouching gait, cried easily andwas very nervous. Diarrhoea was amore or less constant symptom with asmany as fourteen stools in twenty-fourhours. Examination of Urine—Sp. gr. 1022; re-action, acid; there was no albumin nor su-gar. Indican was present in excess. He was seen only once by Dr. Beling,Neurologist to the City and St. MichaelsHospitals, whose examination revealednothing except exaggerated knee reflexesand a disposition to tantrums. The boywas sent to the hospital for observation,where he remained twenty-six days, histemperature running from normal to 100degrees Fahrenheit, pulse 80 to 120 He hadtwo attacks of vomiting. Constipation anddiarrhoea alternated with involuntary faecaldischarges on two occasions. He faintedonce. The black color of the lesions seemedto have lightened. From the mother I learn
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectmedicine, bookyear191
