Scurvy past and present . cation, especially near thesite of the separation of the epiphysis. This gives riseto a bizarre radiographic picture which may be difficultto interpret—the opaque strip or streamer being almostunrecognizable as periosteum (Fig. 17). Hess and Unger observed that in several instanceswhere subperiosteal hemorrhage had been diagnosed,X-ray examination disclosed that the swelling of the thighwas due mainly to infiltration of the muscles and subcu-taneous tissue. It is surprising how an infiltration ofserum gives rise to a swelling which resembles in appear-ance and consist
Scurvy past and present . cation, especially near thesite of the separation of the epiphysis. This gives riseto a bizarre radiographic picture which may be difficultto interpret—the opaque strip or streamer being almostunrecognizable as periosteum (Fig. 17). Hess and Unger observed that in several instanceswhere subperiosteal hemorrhage had been diagnosed,X-ray examination disclosed that the swelling of the thighwas due mainly to infiltration of the muscles and subcu-taneous tissue. It is surprising how an infiltration ofserum gives rise to a swelling which resembles in appear-ance and consistency the classical subperiosteal tumor. The skin, mucous membranes and subcutaneous tissuesare frequently the sites of hemorrhage. There is a differ-ence of opinion as to how frequently petechial hemor-rhages occur in scurvy, particularly as to whether theyare encountered early in this disorder. Great variationin this regard may be noted in individuals and in groupsof cases occurring at different times. In the cases re-. Fig. 16.—Infant 11 months old. Separation of lower epiphysis of femur. Fraying of end of femur and head of tibia. Subperiosteal hemorrhage surrounding lower part of shaft of femur, with calcification of periosteum and of clot.
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Keywords: ., bookcentury1900, bookdecade1920, bookid390020863480, bookyear1920
