. The diseases of infancy and childhood : designed for the use of students and practitioners of medicine. There may be a slight continued feverin the course of the disease. Prognosis.—The prognosis is unfavorable. Of 39 collected byBirch-Hirschfeld, only 4 recovered. Only in the early stage is recoverypossible. Death supervenes from exhaustion with hemorrhages orfrom intercurrent pleuritis or pericarditis. Treatment.—The treatment of a disease whose exact nature is stillunknown is difficult. Good food, and hygienic surroundings are thefirst requisite. In the treatment of anemia, the iod
. The diseases of infancy and childhood : designed for the use of students and practitioners of medicine. There may be a slight continued feverin the course of the disease. Prognosis.—The prognosis is unfavorable. Of 39 collected byBirch-Hirschfeld, only 4 recovered. Only in the early stage is recoverypossible. Death supervenes from exhaustion with hemorrhages orfrom intercurrent pleuritis or pericarditis. Treatment.—The treatment of a disease whose exact nature is stillunknown is difficult. Good food, and hygienic surroundings are thefirst requisite. In the treatment of anemia, the iodide of iron, cod-liver oil, and arsenic are the chief drugs employed. In the lymphaticform, arsenic in the form of Fowlers solution gives the best results. Hodgkins Disease {Anemia Lymphaiica; Adenie; Pseudoleukemia;Lymphadenovut).—This disease is really not an affection of infancyand childhood inasmuch as 75 per cent, of the cases occur above theage of ten years. It is mentioned here to emphasize its characteristicsas distinct from tuberculous adenitis or scrofulous enlargements of PLATE XKIII. Leukemia, Acute, Five Years of Age. Showing HemorrhagesExtensive over Trunk. DISEASES OF THE BLOOD 733 the lymph nodes. It is an affection beginning with the enlargementof the l:\mph nodes of the neck, usually of one side, and accompaniedby an enlarged spleen and liver. In the spleen, liver, and other organsthere are nodular growths. There is a progressive cachexia accom-panied by febrile periods. The disease is fatal either in a short timeof a few months or after a period of two or three years, during whichthere may be intervals of improvement. There are no changes inthe blood such as are seen in true leukemia, and in this lies the mainelement of differential diagnosis. A most complete account of the
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