The medical diseases of children . e balance ofevidence appears in favour of Wrights view. Leaving these considerations, and approaching the etiology ofscurvy from its clinical side, the vast majority of the cases are due tothe use of proprietary foods; but the disease may arise from sterilizedmilk, less often from pasteurized milk, and very occasionally fromfresh milk, even breast-milk. It tends to occur in the children of the INFANTILE SCURVY 75 rich rather than those of the poor. The subjects of scurvy are nearlyalways fat babies with pretty pink-and-white complexions. The age-incidence of
The medical diseases of children . e balance ofevidence appears in favour of Wrights view. Leaving these considerations, and approaching the etiology ofscurvy from its clinical side, the vast majority of the cases are due tothe use of proprietary foods; but the disease may arise from sterilizedmilk, less often from pasteurized milk, and very occasionally fromfresh milk, even breast-milk. It tends to occur in the children of the INFANTILE SCURVY 75 rich rather than those of the poor. The subjects of scurvy are nearlyalways fat babies with pretty pink-and-white complexions. The age-incidence of scurvy is well worth remembering. Thedisease arises with great regularity between the sixth and twelfthmonths of life. Most of the cases occur just when the first teeth areappearing, that is during the sixth, seventh and eighth months. Symptomatology-— Occurring in an infant who is well-nourishedbut showing the earliest signs of rickets, scurvy produces its symptomsby the hemorrhages which take place. The child may be brought to. HEMORRHAGE INTO GUMS ROUND ERUPTING INCISOR TEETH. the doctor for tenderness or swelling of the limbs, or for what isthought to be paralysis, or even meningitis. With a hemorrhage, thetemperature rises to ioi° or 1020, and generally remains slightly raisedwhile the absorption of the blood proceeds. Haemorrhages mayoccur anywhere, but the most characteristic signs and symptoms arethose here described. Generalized tenderness is perhaps the earliest sign of all, and is notuncommonly seen in rickety children who show no other evidences ofscurvy. It is, however, to be regarded and treated as a scorbuticsign, and not as one of rickets. 76 CONSTITUTIONAL DISEASES If the teeth are cut, or on the point of eruption, hemorrhage intothe gums is the most constant sign of the disease. The gums becomespongy and purple, and may be so swollen as to project from themouth. The gum affection of scurvy shows two points of great clinicalimportance : first, it is only pre
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectpediatrics, bookyear1
