The practice of obstetrics, designed for the use of students and practitioners of medicine . ^ infectious process. Thepeculiar induration first appears in localities where adipose tissue is abundant,and usually extends over most of the subcutaneous area (Fig. 1031). At thesame time there is a marked lowering of temperature with failure of circulation,cyanosis and cedema often appearing. The child seldom lives over three orfour days from the inception of the malady-. While the general prognosis is grave,mild cases of sclerema are sometimes saved by the treatment for prematurity,including the in
The practice of obstetrics, designed for the use of students and practitioners of medicine . ^ infectious process. Thepeculiar induration first appears in localities where adipose tissue is abundant,and usually extends over most of the subcutaneous area (Fig. 1031). At thesame time there is a marked lowering of temperature with failure of circulation,cyanosis and cedema often appearing. The child seldom lives over three orfour days from the inception of the malady-. While the general prognosis is grave,mild cases of sclerema are sometimes saved by the treatment for prematurity,including the incubator. In a certain number of cases sclerema has been notedas a mere terminal stage of exhaustion. There is a large amount of evidence that * Jour, de de Paris, 1898, x, 349. t Dorsal Sclerema Neonatorum, William Browning, Journal Cutan. and Diseases, vol. xviii, whole No. 219, Dec, DISEASES OF UNKNOWN NATURE. 851 the affection represents only a high degree of the defective readjustment of thesubdeveloped child. Unfortunately all sorts of exceptions to general rules havebeen noted. Ballantyne even cites a case in which no adipose layer was present. 6. Buhls Disease. 7. Winckels Disease.—The former has been known asfatty degeneration of the newly born, and the latter as epidemic hemoglobin-uria of the newly born. Both conditions suggest sepsis as the cause, Winckelsdisease more so than Buhls, because the former has occurred in epidemics. The prognosis is hopeless and the treatment entirely symptomatic in boththese diseases. 8. Mastitis.—Mammary abscess belongs under sepsis neonatorum, but thecondition usually referred to as mastitis includes the condition of physiologic^alactivity so often seen in children of both sexes at birth, by virtue of which milkis for a few days secreted in minute amounts (Fig. 1032). As a result of handling,want of cleanliness, etc.,
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectobstetrics, bookyear1
