. Diseases of children. consequence food is rejected. There is,in addition, restlessness, languor, and some fever. Aphthous Stomatitis.—In this condition the mucousmembrane is swollen and red. There are small, roundvesicles on the tip of the tongue, on the inner side of thelips, and on the cheeks. There may be only a dozenvesicles present, or the whole mucous membrane may becovered. These Httle vesicles break and leave small, DISEASES OF THE DIGESTIVE TRACT 11/ shallow ulcers having a red rim. The other symptomsof stomatitis common to all varieties are present. Theyare dribbling of saliva, hea
. Diseases of children. consequence food is rejected. There is,in addition, restlessness, languor, and some fever. Aphthous Stomatitis.—In this condition the mucousmembrane is swollen and red. There are small, roundvesicles on the tip of the tongue, on the inner side of thelips, and on the cheeks. There may be only a dozenvesicles present, or the whole mucous membrane may becovered. These Httle vesicles break and leave small, DISEASES OF THE DIGESTIVE TRACT 11/ shallow ulcers having a red rim. The other symptomsof stomatitis common to all varieties are present. Theyare dribbling of saliva, heat and pain in the mouth, re-fusal of the child to nurse, restlessness, languor, and Stomatitis.—In addition to the generalsymptoms of stomatitis there is an ulceration of the mucousmembrane beginning at the angle formed at the junctionof the cheek and the alveolar processes, which is theportion of the jaw that holds the roots of the teeth. Theglands under the jaw are enlarged, but do not Fig. 34.—Noma of the face (case of A. T. Bazin). In severe cases necrosis of the jaw may follow, with asubsequent loosening and falling out of the teeth. Parasitic Stomatitis (Thrush).—The general symp-toms of stomatitis are present. On inspection numerousmilk-white elevations are found, which on removal leavea raw surface. This is due to a fungous growth introducedthrough dirty nipples. Gangrenous Stomatitis or Noma.—It is usually seen Il8 DISEASES OF CHILDREN FOR NURSES in debilitated children between the ages of two and sixyears, and generally follows one of the specific fevers,such as measles or whooping-cough. The symptoms of stomatitis are marked. Thecheek, the part affected, is swollen, hard, red, andglazed externally; and internally there is noted anirregular, sloughing ulcer. There is destruction of thetissues and in some cases the skull is exposed. Inthe large majority of cases the end is death. If there is re-covery, deformity is present except
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