The diseases of infants and children . rt. But in all severe cases the pain soon becomes constant,the tenderness intense, and the slightest attempt at passive movementoccasions loud outcries. AMicn the localization can be determined, itis found oftenest in the neighl)orhoo(l of the ankles or knees. Even ap-proach to the bed-side may cause the infant to scream through fear ofbeing touched. In the majority of cases there is suffering only when thelimbs are moved. In 91 of the American Pediatric Societys series, how- Forischr. uus d. (Icbicto dcr Rontgenstniliicii, , .\, 1. 606 THE DISEASES
The diseases of infants and children . rt. But in all severe cases the pain soon becomes constant,the tenderness intense, and the slightest attempt at passive movementoccasions loud outcries. AMicn the localization can be determined, itis found oftenest in the neighl)orhoo(l of the ankles or knees. Even ap-proach to the bed-side may cause the infant to scream through fear ofbeing touched. In the majority of cases there is suffering only when thelimbs are moved. In 91 of the American Pediatric Societys series, how- Forischr. uus d. (Icbicto dcr Rontgenstniliicii, , .\, 1. 606 THE DISEASES OF CHILDREN ever, pain was reported present even when the infant was entirely at nearly all instances some degree of pseudoparydysis exists, depend-ent upon pain, and in some cases the legs may b(^ kept so still that polio-myelitis or other form of paralysis is suspected. The absence of motionmay range from mere disinclination to move the limbs up to completedisability; varying with the case. At times this is the first symptom. Fig. 211.—Infantile Scurvy. White case in au infant admitted to the Childrens Hospital of Philadelphia, aged10 months. Knees swollen; tibise tender on pressure; moves the legs very little; gumsswollen and mottled. Radiograph taken Jan. 17 shows the white line, (in the nega-tive; naturally black in the print.) noticed (36 of the American Pediatiic Societys series). Thoracic painis sometimes produced by lifting the child in the ordinary the same time with the development of pain the characteristicaffection of the gums develops. It was seen in 313 cases in the AmericanPediatric Societys series and was the first symptom in 42 cases. Itconsists, when well developed, in a deep bluish-purple, spongy swelling
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