. Diseases of infancy and childhood . ved equalparts of milk and water. When first seen by me at the age of eighteen months, shewas still fed on equal parts of milk and Avater. There has always been severeconstipation, and streaks of blood have frequently been seen in the stool from severetenesmus. The examination of the child at that time showed coarse, sparse hair,and a very rough skin. The tongue and the lips were very thick. The tonguealways protruded from the mouth; breathing was difficult. There was constantsnoring, and the mouth was always open. The thorax was decidedly rachitic; therew
. Diseases of infancy and childhood . ved equalparts of milk and water. When first seen by me at the age of eighteen months, shewas still fed on equal parts of milk and Avater. There has always been severeconstipation, and streaks of blood have frequently been seen in the stool from severetenesmus. The examination of the child at that time showed coarse, sparse hair,and a very rough skin. The tongue and the lips were very thick. The tonguealways protruded from the mouth; breathing was difficult. There was constantsnoring, and the mouth was always open. The thorax was decidedly rachitic; therewas a funnel-shaped depression, and also a kyphosis and an umbilicated hernia. Thechild could neither stand nor talk. There was no evidence of teething. The appetitewas poor. The temperature was subnormal, 98 Vs in the rectum. The pulse was CRETINISM. 723 Sporadic Cretinism. Fig. 237.—Cliild. Age 1year, 5 months. (Origi-nal.) Fig. 238.—Same child. Age 2 years. (Original.) Fig. 239.—Same child. Age 3 years, 5 months. (Orig-inal.). Fig. 237.
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