Modern diagnosis and treatment of diseases of childern; a treatise on the medical and surgical diseases of infancy anf childhood . ing characteristic statural disparities :—extremities: Shortness of the extremities as compared with the normal abdom°eng (relatively long) abdomen; bowing of the extremities, especiallylower, and thickening of the terminal epiphyses; limited powerof extension of upper extremities; peculiar fan-like divergence ofthe thick, uniformly sized fingers, the so-called trident hand;marked narrowing of the pelvis; lordosis; protuberant abdomen;narrowing of the base of the s
Modern diagnosis and treatment of diseases of childern; a treatise on the medical and surgical diseases of infancy anf childhood . ing characteristic statural disparities :—extremities: Shortness of the extremities as compared with the normal abdom°eng (relatively long) abdomen; bowing of the extremities, especiallylower, and thickening of the terminal epiphyses; limited powerof extension of upper extremities; peculiar fan-like divergence ofthe thick, uniformly sized fingers, the so-called trident hand;marked narrowing of the pelvis; lordosis; protuberant abdomen;narrowing of the base of the skull (pug-nose, broadening ofthe jaws), as compared with the normal (relatively large) upperpart of the skull. The skin and nails are normal; the hair is softand abundant in growth. Intellect is usually normal. The Tridenthand. 1 Though not an acquired disease, this suhject is treated here in orderto emphasize its many differences from rickets. SCORBUTUS INFANTUM. 505 great majority of cases of achondroplasia die in utero or soonafter birth. Those who survive may attain old age. They veryrarely exceed four feet in Fig. 161.—Achondroplasia (10 months old). Note length of trunkand shortness of extremities. (Sheffield.) SCORBUTUS INFANTUM(Moeller-Barlows Disease, Acute Rickets). Infantile scurvy is an acute specific hemorrhagic affection ofas yet unknown origin. It is probably due to direct microbicinfection or toxemia resulting from intestinal putrefaction. Asthe disease occurs principally in infants from six to eighteenmonths old, the period when nutritional disturbances are mostrampant, there is every reason to believe that malnutrition is the Malnutrition. 506 DISTURBANCES OF METABOLISM. Usually suddenonset. most active predisposing cause. This explains also the frequencywith which infantile scurvy is observed in infants fed on hoiled,sterilized or pasteurized milk (milk deprived of some of itsnutritious qualities) or poor breast milk. The onset of the disease is
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectchildren, bookyear191
