. Diseases of children. es during remissions. Cachexia develops late, and,commonly wdth it, various symptoms from pressure of the enlargedglands on nerves and vessels (Figs. 34 and 35). Blood Pictm^e.—Early in the disease the blood may show no change,but with the onset of the secondary anemia there is a steady fall inhemoglobin. The color index is low since the red cells are not decreasedin proportion to the hemoglobin. There is no increase in white cellsin uncomplicated cases, but there may be a lymphocytosis. In the event of a complicating tuberculous infection of the glandsthere is a tenden
. Diseases of children. es during remissions. Cachexia develops late, and,commonly wdth it, various symptoms from pressure of the enlargedglands on nerves and vessels (Figs. 34 and 35). Blood Pictm^e.—Early in the disease the blood may show no change,but with the onset of the secondary anemia there is a steady fall inhemoglobin. The color index is low since the red cells are not decreasedin proportion to the hemoglobin. There is no increase in white cellsin uncomplicated cases, but there may be a lymphocytosis. In the event of a complicating tuberculous infection of the glandsthere is a tendency toward high leukocyte counts which, if the processbe mixed, as it often is, affects chiefly the polynucleated types of cells. Diagnosis.—The diagnosis is based upon the enlargement of thelymph glands, their histological structure, and the accompanying blood 486 DISEASES OF THE BLOOD picture. The structure of the enlarged glands and their movabilityeliminate lymphosarcoma. Tuberculous adenitis generally goes on to. Fig. 34.—Hodgkins disease.
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