. Alienist and neurologist. . d mentally. Her face lost for a time itsanxious, frightened appearance, becoming brighter. Her stomatitis, proctitis, etc., responded verynicely to treatment. Her appetite increased and she very seldom, if ever, refused her the mouth and chin the skin became dark and roughened, the herpes more marked, butthese finally reacted to treatment. The skin of the hands became drier and darker. On December28th the knuckles showed a crater-like splitting of the epidermis, and the following day the skinbegan to desquamate. About the middle of January, the
. Alienist and neurologist. . d mentally. Her face lost for a time itsanxious, frightened appearance, becoming brighter. Her stomatitis, proctitis, etc., responded verynicely to treatment. Her appetite increased and she very seldom, if ever, refused her the mouth and chin the skin became dark and roughened, the herpes more marked, butthese finally reacted to treatment. The skin of the hands became drier and darker. On December28th the knuckles showed a crater-like splitting of the epidermis, and the following day the skinbegan to desquamate. About the middle of January, the hands had practically become free ofdesquamation and a pinkish, glistening skin remained. During the latter part of January, she feltmuch stronger, but as there was a chronic myocarditis existing, she was allowed to sit up in bedbut for brief periods during the day. Suddenly, after a few days of confusion and excitability, herheart flagged and she died on February 2, 1917. Mentally, during this last illness, she was rambling in her conversation, very much deluded, very surly and irritable. During the first twoweeks she had a slight temperature, 100 to 101 per rectum. Neurological examination revealedher to have a diminution of the patellar reflexes, more so on the right side. Her stools, though lessfrequent and much less watery, continued to harbor much undigested food particles up till the last. Having decided that we were dealing with pellagra, we were curious as to her former charge nurse on the ward where she had resided when she was taken sick, reported that forsome months previous to her transfer to the infirmary, she had lived chiefly on bread {white andgraham), corn weal and corn starch pudding. She ate ver\) little if any meal, and after nddmgherself of her false teeth, she ate freely of corn meal mash and corn starch pudding, m fact, atepractically nothing else. , ,■ i r l j r Summary of Post Mortem Findings.—Moderate emaciation. Dark discolora
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectpsychology, bookyear1
