CHAPTER XI

RELATION OF SCURVY TO OTHER DISEASES 248

BERIBERI; SHIP-BERIBERI; PELLAGRA; RICKETS; OSTEOGENESIS IMPERFECTA; OSTEOMALACIA; HUNGER EDEMA; "MEHLNAERSCHADEN"; EXUDATIVE DIATHESIS; DISEASES DUE TO A FOOD EXCESS

APPENDIX: LIND'S RECIPES FOR PREPARING STABLE ANTISCORBUTICS 259

BIBLIOGRAPHY 261

ILLUSTRATIONS

FIG. PAGE

1. Dependence on potato as antiscorbutic 7

2. Weight curve of scorbutic baby. Effect of alkalization of milk 51

3. Lumbar cord in case of scurvy 104

4. Lumbar cord in case of scurvy. Focal degeneration 104

5. Bone in scurvy. Microscopic pathology 105

6. Subperiosteal hemorrhage and separation of epiphysis. Roentgenogram 108

7. Complete restitution of epiphysis without deformity. Roentgenogram 109

8. Curve of fecal excretion in scurvy 120

9. Diagrammatic representation of guinea-pig scurvy 128

10. Loss of weight in guinea-pig scurvy 139

11. Dried milk as an antiscorbutic 140

12. Dehydrated vegetables as a cause of scurvy 164

13. Cure of scurvy by addition of canned tomato 166

14. Failure of yeast as prophylactic 171

15. Temperature, pulse, and respiration in scurvy 186

16. Subperiosteal hemorrhage and separation of epiphysis. Roentgenogram 192

17. Periosteal "tags" and "streamers." Roentgenogram 193

18. Infant with marked scurvy. Characteristic position 198

19. Scorbutic beading of ribs. Roentgenogram 198

20. "White line." Roentgenogram 199

21. Cardiac enlargement. Roentgenogram 200

22. Electrocardiogram showing "cardiorespiratory syndrome" 201

23. Stationary weight during cure of scurvy. Oliguria followed by polyuria 206

24. Development of scurvy in spite of normal gain in weight 214

25. Retardation of growth in length when no orange juice was given and supergrowth when given once more 216

TABLES

TABLE PAGE

1. Fecal flora of scorbutic infants 29

2. Necropsy reports of scurvy 82

3. Relative distribution of the antiscorbutic factor in the commoner foodstuffs 157

4. Platelets and other blood cells in scurvy 209

5. Data of epidemic of scurvy 218

6. Duration of treatment before marked improvement was noticed 237

SCURVY PAST AND PRESENT