American journal of diseases of children

1923 American journal of diseases of children

doi: 10.1001/archpedi.1923.01920050075011

Dr. David M. Siperstein requests that attention be directed to two errors that occurred in his articles which appeared in the February and March issues of the American Journal of Diseases of Children. In the article in the February issue the subtitle of the caption of Table 9 should read "Blood Counts Following Hemorrhage," instead of "Blood Counts Following Injection." In the second article, which appeared in March, the erythrocyte counts in Table 2 should read: 4,160,000 and 4,280,000, instead of 5,160,000 and 5,280,000.

1923 American journal of diseases of children

doi: 10.1001/archpedi.1923.01920050075012

Dr. Dunn has called attention to an error in his article on "A Statistical Analysis of the Causes of Palpable Lymph Glands in the New-Born" in the April issue. On page 333, line 23, is a reference to Lippman which should read : "Thirteen of the babies had palpable inguinal glands. The normal leukocyte count established by Lippman was 16,600 at birth, 22,500 at 12 hours, 11,300 at 48 hours, and 9,500 "by the fifth day of postnatal life."

FAB ER, HAROLD K.

1923 American journal of diseases of children

doi: 10.1001/archpedi.1923.01920050002001

About four years ago, I summarized1 Pirquet's interesting methods of feeding that had been developed and introduced in Vienna during the Great War. A considerable literature dealing with this subject has since then been produced, and several enthusiastic writers have advocated the adoption of these methods in this country. The general feeling here has apparently been that the methods, while interesting, were so revolutionary that their introduction would involve an endless confusion, to be avoided if possible. Few critical studies of the methods themselves have appeared, and almost none in this country. The visit of Pirquet to this country in 1921 was followed by a reawakening of interest in the subject which has culminated in the appearance of his own description of the system in book form in English,2 based on the Silliman lectures at Yale. It would appear timely, therefore, to give critical consideration to the outstanding

HALBERTSMA, T.

1923 American journal of diseases of children

doi: 10.1001/archpedi.1923.01920050013002

That the occurrence of mongolism in twins must be regarded as important and that it may possibly throw light on the etiology are admitted by all authors that have studied this affection. Since the publication of Fraser's1 paper, ten cases of mongolism in one of twins and two cases in both have been reported. I have been able to add to this series five new cases in which only one of the twins was a mongolian idiot. A study of the literature reveals that almost nothing is known about the causation of mongolism. Several authors have regarded the affection as dependent upon diseases of the mother, or as acquired during pregnancy through the operation of other influences injurious to the embryo. The only fact that can be asserted as having etiologic significance is that the great majority of mongolians are the children of mothers who are nearing the end

MORGAN, EDWARD A.

1923 American journal of diseases of children

doi: 10.1001/archpedi.1923.01920050017003

Those who were in the service during the recent war and particularly those who served in any one of the fields of battle will recall the disease which was more or less prevalent among the rank and file and which was popularly known as trench mouth. The condition was not serious in that it did not impair the man's fighting efficiency, but it was annoying because of its contagiousness and its resistance to treatment. The frequency with which this condition has been encountered during the last two years among the children of this city has excited no little comment. It is designated by several names: suppurative gingivitis, Vincent's angina, trench mouth and ulcerative stomatitis. The latter term has been used, however, to describe two conditions which, I believe, are not identical either etiologically or clinically, but which frequently coexist in the same patient. The terms Vincent's angina, trench mouth and

RULISON, R. H.; McLEAN, STAFFORD

1923 American journal of diseases of children

doi: 10.1001/archpedi.1923.01920050022004

Vascular nevi may be divided, from the standpoint of radium therapy, into four types: (1) flat angiomas, superficial and level with the skin; (2) flat angiomas, level with the skin but deeply infiltrating the cutaneous and subcutaneous tissue or mucous membrane; (3) angiomas which are elevated to a greater or less degree with smooth and papillated surface; (4) soft and pulsatile angiomas with fluctuating areas, and (5) erectile angiomatous tumors situated under the skin or in the mucous membrane. Most of the cases that came under our observation belong in the third group, some in the fourth and fifth groups and a few in the second group. The few attempts made to treat the superficial flat angiomas (port wine marks) with radium met with indifferent success and were not continued for sufficient time to warrant comment. The type of lesion treated in this study may be classed as raised capillary

MORTON, JOHN J.

1923 American journal of diseases of children

doi: 10.1001/archpedi.1923.01920050034005

The occurrence of congenital atresia along the gastro-intestinal tract is by no means a rare condition, Davis and Poynter1 having assembled the reports of 392 cases of occlusion between the pylorus and anus. A further analysis shows that the duodenum is the site of predilection, as the lesion was found there in 134 cases of the series. Right internal hernia, on the other hand, is a condition which warrants report whenever it is found, since Moynihan2 was able to collect but seventeen cases in 1906, when his classical monograph appeared. Herniation into the infraduodenal fossa, according to this author, is the rarest of all the types of internal hernia. Armand,3 in his Thèse de Lyon, 1903, reported the only case so far on record. The subjoined case is presented because of the combination of the two foregoing defects in one individual; because of the rarity of such

FOOT, NATHAN CHANDLER; JONES, GWENDOLYN

1923 American journal of diseases of children

doi: 10.1001/archpedi.1923.01920050042006

The case herewith reported is of interest, first, because few instances of chloroma are published each year (only three in 1922), and, secondly, because the symptoms in this child all pointed to cerebral lesions and diverted the attention of the clinicians from the underlying condition. No superficial tumors were present, an unusual feature which further added to the difficulties of diagnosis, although the blood smears were typical of acute myelogenous leukemia. It is also interesting to note that the testis and epididymis were invaded by the tumor, these having been reported hitherto as being involved in only one instance.1 The diagnosis had been abdominal spasms, worms and poliomyelitis before admission to the Cincinnati General Hospital; after admission, it was a question whether the case should be considered lymphogenous chloroma or encephalitis with a severe anemia. Our knowledge of chloroma dates back to 1854, when it was first described by

ZINGHER, ABRAHAM

1923 American journal of diseases of children

doi: 10.1001/archpedi.1923.01920050055007

Performance of the Schick test and active immunization with toxinantitoxin were started on a large scale in the public schools of New York during the spring of 1921. Since then the work has been continued under the general direction of Dr. Park, and nearly all the children in public and parochial schools in Manhattan and the Bronx have been tested by myself and my group of assistants. In Brooklyn and Queens the work is being carried out by Dr. Schroder and her associates. The following report represents the tabulated summary of the Schick test on more than 150,000 schoolchildren in Manhattan and the Bronx. A. THE SCHICK TEST AND CONTROL TEST: DILUTIONS FOR THE TEST The Schick test was made on the right forearm of each child and the control test with heated toxin on the left forearm. The reactions were read from the third to the seventh day after

BAKWIN, HARRY

1923 American journal of diseases of children

doi: 10.1001/archpedi.1923.01920050069008

These studies were undertaken in order to determine whether or not there is an increase in the water content of the blood during the rapid gains in weight which not infrequently occur in healthy, artificially fed infants. Freund1 has shown that these large weight increases are due to water retention. He studied the nitrogen and chlorid balance in a series of artificially fed infants and found that during the days of rapid gain the nitrogen retention was sufficient to account for only a small part of the increase in weight. That the major part was due to water retention was shown by the marked diminution in the elimination of chlorid and alkali salts. In these studies the refractometric method was used to determine variations in the blood water. The technic employed was similar to that described in previous papers.2 The serum proteins were calculated from the refractive index of serum

1923 American journal of diseases of children

doi: 10.1001/archpedi.1923.01920050074009

In this book the author presents the problem of the premature and congenitally diseased infant to the pediatrician, obstetrician and general practitioner. If these children are to he saved, preparations must be made before hand, and every care used before, during and after delivery. While the mortality is, and always will be, high, still lives may be saved if precautions are taken. It is true that a number of these children may never progress normally; on the other hand, the author emphasizes the fact that some of them develop and may later be indistinguishable from those born at term. The book consists of four parts. In the first, etiology, physiology and pathology are discussed. It contains many interesting and useful tables dealing with body weight and other measurements of the fetus. The author discusses heat regulation and points out that it is one of the least developed

1923 American journal of diseases of children

doi: 10.1001/archpedi.1923.01920050074010

This book is a well written, concise résumé of syphilis as a family disease. All unnecessary detail is eliminated, and the essential facts are presented in a brief but interesting manner. The five chapters are well arranged, following one another in logical sequence. Statistics are worked up in as interesting a manner as their purpose will permit. Syphilis with its protean manifestations is found in all the branches of medicine, and to the specialist, as well as to the general practitioner, the disease presents scientific, social and economic problems. The book as a study of the social effects of syphilis on the family and the community, with a proper evaluation of these effects, is of interest to physicians, as well as to social workers.