. The diseases of infancy and childhood : designed for the use of students and practitioners of medicine. the most aggra^ated cases of scurvy thatha^e come under my notice the diet has been sterilized milk, manyinfants who take that food prepared properly do not develop the dis-ease. Some authors believe that the success of antiscorbutic treat-ment with vegetable acids indicates that the organism has been for atime deprived of some essential food element. In the presence of aconcrete case attention should first be directed to securing fresh foodof proper composition. In another of my cases a g
. The diseases of infancy and childhood : designed for the use of students and practitioners of medicine. the most aggra^ated cases of scurvy thatha^e come under my notice the diet has been sterilized milk, manyinfants who take that food prepared properly do not develop the dis-ease. Some authors believe that the success of antiscorbutic treat-ment with vegetable acids indicates that the organism has been for atime deprived of some essential food element. In the presence of aconcrete case attention should first be directed to securing fresh foodof proper composition. In another of my cases a good raw milk was the food, but it con-tained 7 per cent, of fat, both the deficient breast milk and the rawcows milk on the face of it were denutritional. Rachitis.—]\Iuch has been said as to the connection of rachitis withthis disease. The investigations above referred to show that fully45 per cent, of the cases occurred in infants and children who showedclinically signs of rachitis. This does not account for cases in whichrachitis may exist, but may not be apparent except on microscopic PLATE VI. x-ray of the Bones of the Leg hi a Case of Scorbutus,showing the hemorrhage under and in the periosteum ofthe tibia at thje junction of the middle and lower third ofthe bone. INFANTILE SCORBUTUS OR SCURVY 249 examination (Hirschsprung, Schoedel). The majority of cases exam-ined postmorten showed the changes of rachitis (Schoedel, Schmorl). Morbid Anatomy.—The morbid anatomy has been carefully andextensively studied by Schoedel, Nauwerck, and Schmorl, whoseresults agree in all essentials. Bones.—The bones in most cases show the changes seen in are disturbances of growth and of bone formation. There isan increase in the width and vascularization of the cartilage are irregularity of the calcification zone, and a pathologicalformation of tissue. The changes at the epiphyseal junctionand the periosteum are those seen in rachitis. The ribs are the b
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