. The diseases of infancy and childhood : designed for the use of students and practitioners of medicine. pindle-shaped cells. The villi of the gut have disappeared. The wholemucosa is thinner than is normal (Baginsky). On the other hand,these changes may not be marked. MARASMUS OR INFANTILE ATROPHY 255 Heubner thinks that these changes in the intestine descrited byBaginsky are postmortem and not the result of the disease. The liveris fatty and may be enlarged. The spleen is small. The kidneys maybe pale, especially in the cortex, and may be the seat of parenchxTiiatousdegeneration. Tlie lymph
. The diseases of infancy and childhood : designed for the use of students and practitioners of medicine. pindle-shaped cells. The villi of the gut have disappeared. The wholemucosa is thinner than is normal (Baginsky). On the other hand,these changes may not be marked. MARASMUS OR INFANTILE ATROPHY 255 Heubner thinks that these changes in the intestine descrited byBaginsky are postmortem and not the result of the disease. The liveris fatty and may be enlarged. The spleen is small. The kidneys maybe pale, especially in the cortex, and may be the seat of parenchxTiiatousdegeneration. Tlie lymph nodes of the mesentery may be enlarged. Symptoms.—The symptoms of infantile atrophy are cumiilati\eand begin to show themsehes after a period of feeding which maynot have been so discouraging at first. The infant may have beenpremature or of fine normal development at birth. Whether on thebreast or bottle the signs of disturbance are much the same. Theybegin with slight marks of trouble. The color of the infant fails atfirst; there are slight dyspeptic disturbances, such as spitting up, or * i*?^^. Fig. 44.—Vertical section of the head of a cliild, aged two months, showing thesucking pads (S. C). (Symington.) colic and restlessness; and then the first serious sign that inroads arebeing made on the economy is met with in the stationary weight anddisturbed balance of metabolism (Heubner). With the occurrenceof this stationary weight the stools are either constipated, dry andsoapy in consistency, or they may be soft and curdy. The infantscry incessantly and have a ravenous appetite which is not appeasedby more food. They have passed into a second period of dyspepticsymptoms (Meyer and Finkelstein). The greater amount of foodwhich is given under the mistaken idea that they are hungry does notnourish the infants and added to the serious symptoii of stationaryweight we finally have loss of weight. The condition is now progressive. The infants develop symptomsof decomposition, th
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Keywords: ., bookcentury1900, bookdecade1910, bookpublish, booksubjectchildren
