Pediatrics : the hygienic and medical treatment of children . is whichis enlarged. In roentgenograms the appearances are eiitirely different. Theepiphyseal lines instead of being broad and irregular as in rickets,are straight and much narrowed. The shafts of the bones are dimin-ished in length and increased in breadth and density. The apparentovergrowth of the bony epiphysis may be so marked that its shadowappears to overlap that of the epiphyseal line. Cretinism.—This condition is mistaken for chondrodystrophy be-cause it also shows the principal diagnostic feature of the latter,namely, short


Pediatrics : the hygienic and medical treatment of children . is whichis enlarged. In roentgenograms the appearances are eiitirely different. Theepiphyseal lines instead of being broad and irregular as in rickets,are straight and much narrowed. The shafts of the bones are dimin-ished in length and increased in breadth and density. The apparentovergrowth of the bony epiphysis may be so marked that its shadowappears to overlap that of the epiphyseal line. Cretinism.—This condition is mistaken for chondrodystrophy be-cause it also shows the principal diagnostic feature of the latter,namely, shortening of the length of the limbs. The shortening. Chondrodystrophy 371 however, is not so marked in cretinism as in , all the other features characteristic of the cretin, suchas marked retardation of mental development and the myxedematousthickening of the skin and mucous membranes, are absent. Certaintyof differential diagnosis may be obtained from the characteristicfeatures seen in roentgenograms of chondrodystrophy. Fig. 253.


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Keywords: ., bookcentury1900, bookdecade1910, booksubjectpediatr, bookyear1917