. Diseases of infancy and childhood . lied from thosesecondary to disease of the lung or of the chest wall. 3. Abscess in the loin or inguinal region may be mistaken for the acute or chronic abscess due to:— , , Ti . , .,. ( These are usually of acute onset and are ac- (a) Pennepnntis. . ^ . ( companied by constitutional disturbances. C There may be secondary rigidity of the spine,Cb) Perityphlitis. J but no deformity, as is usual in Potts dis- [^ ease at the stage of abscess formation. (c) Sacral or iliac disease. The symptoms of Potts disease are lacking. (d) Hernia. POTTS DISEASE. 853 The p
. Diseases of infancy and childhood . lied from thosesecondary to disease of the lung or of the chest wall. 3. Abscess in the loin or inguinal region may be mistaken for the acute or chronic abscess due to:— , , Ti . , .,. ( These are usually of acute onset and are ac- (a) Pennepnntis. . ^ . ( companied by constitutional disturbances. C There may be secondary rigidity of the spine,Cb) Perityphlitis. J but no deformity, as is usual in Potts dis- [^ ease at the stage of abscess formation. (c) Sacral or iliac disease. The symptoms of Potts disease are lacking. (d) Hernia. POTTS DISEASE. 853 The paralysis of Potts disease must ])e distinguished from 1. Simple weakness. 2. Injury to the cord. 3. Tumors of the cord. 4. Syphilitic disease of the cord. The weakness and stiffness caused by Potts disease in the lower regionmay be simulated by lumbago, rheumatism, sciatica, and by the effect ofinjury or strain. Lumbago, rheumatism, and sciatica are uncommon inchildhood. They are usually of sudden onset. Sciatica is usually iini-. Fig. 292.—Potts Disease. Case of Harrv F. (Original.) lateral; the pain of Potts disease is usually bilateral. Strains and otherinjuries have, as a rule, a well-defined history. Prognosis.—This should be cautiously given. While most cases seenby me ended fatally, several cases improved and recovered entirely. Yearsof patient treatment are necessary, and occasionally the most severe casesmay end in recovery. TTany F., 4 years old. Family Hititory.—Fiithor and niolhor aro unlieallhy. woak and very poor. (>nochild lias died of summer complaint. Another, two years yonngor. is inolinod tocough, and was operated by nie for empyenia. 854 DISEASES OF THE SPIXE AND JOINTS. Personal Eistonj.—The child was born and has since then lived in a tenementhouse, in a densely populated section of the city. He was a bottle-fed infant, andhas been constipated since birth, although he suffers with diarrhoea in always been a frail and sensitive child
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