The practice of pediatrics . D 0 C8> 5o o. oasK RACHITIS 325 hyperplasia, characteristic of the disease, taking place at the costo-chondral junctions on either side of the sternum. They are found atthe ends of the ribs, and the row of beads runs downward and out-ward along the costal margin. This beading is also present onthe under or visceral side of the thorax, but naturally can only beappreciated here postmortem. About the same time on careful examination similar changes can befound at the epiphyseal junctions of some of the long bones, more par-ticularly at the wrists, ankles, and knees
The practice of pediatrics . D 0 C8> 5o o. oasK RACHITIS 325 hyperplasia, characteristic of the disease, taking place at the costo-chondral junctions on either side of the sternum. They are found atthe ends of the ribs, and the row of beads runs downward and out-ward along the costal margin. This beading is also present onthe under or visceral side of the thorax, but naturally can only beappreciated here postmortem. About the same time on careful examination similar changes can befound at the epiphyseal junctions of some of the long bones, more par-ticularly at the wrists, ankles, and knees. There is a knob-like enlarge-ment, palpable in the early stages, visible later, which lies exactly at thepoint where epiphysis and diaphysis join, and which gradually flattensdown to the level of the bone on either side of it. Neither the beadsnor the knobs are tender to pressure. The head appears large and square. The forehead is high and broadand the top of the head is more or less flattened. There is a tendency toa shallow furrow along
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectchildren, bookyear190
