. Manual of antenatal pathology and hygiene : the foetus. any infants ai-e allowed to become chilled ? Further, in a casewhich I .saw some years ago (35), the microscopical appearances SCLEREMA NEONATORUM 75 ofthe_ subcutaneous tissue suggested something very different fromsimple solidification of the adipose layer; they showed an invasionof the layer by bands of connective tissue, and an atrophy of thefat cells (Fig. 8). Another origin for the disease was found inthe cardio-vascular readjustments at birth, or in the disturbanceof them. Some writers identified sclerema with morbus coeruleus;ot
. Manual of antenatal pathology and hygiene : the foetus. any infants ai-e allowed to become chilled ? Further, in a casewhich I .saw some years ago (35), the microscopical appearances SCLEREMA NEONATORUM 75 ofthe_ subcutaneous tissue suggested something very different fromsimple solidification of the adipose layer; they showed an invasionof the layer by bands of connective tissue, and an atrophy of thefat cells (Fig. 8). Another origin for the disease was found inthe cardio-vascular readjustments at birth, or in the disturbanceof them. Some writers identified sclerema with morbus coeruleus;others grouped it with the infections, and saw in it an unusualform of erysipelas neonatorum. The antenatal factor (a convenientone in cases, about whicli our ignorance is the densest) hasof course been long in the field, and has ranged from icctal syphilisand myocarditis, to anomalies of the lymphatics and antenatal lesionsof the thermic nervous centres. What I wrote in 1895 (4, p. 53)I may with safety place again here: It would seem as if nothing. lessjthan the labours of an international connnittee of investigationmight succeed in clearing up the confusion, and in undoing theresults of the erroneous generalisations of the past century. Spesincerta! At any rate, the malady affords another instance of theintrusion of the antenatal factor into the pathology of the new-born,and to illustrate this intrusion has been the chief object of this andof the preceding chapter. There are yet other morbid states of the new-born, such asasphyxia neonatorum, and neonatal heart disease, in which a dis-turbance, or rather a complete arrestment of the physiologicalreadjustment at birth, is very evidently present. In them, also,it is not difficult to recognise the antenatal factor in the backgroundof the etiologv. 70 ANTENATAL IATI AND HYGIENE Summary. From lliL fads wliicli have been euuiiierated, it is clearly evidentthat if the characters of the diseases of the new-born infant ar
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