File:The diseases of infancy and childhood (1910) (14783952733).jpg

Identifier: diseasesofinfa00kopl (find matches)
Title: The diseases of infancy and childhood
Year: 1910 (1910s)
Authors: Koplik, Henry, 1858- (from old catalog)
Subjects: Children
Publisher: New York and Philadelphia, Lea & Febiger
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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show the same changes. There are hemorrhages and exudatein the ear, and the nerves and nervous tissue of the central nervoussystem are the seat of lymphoid cellular invasion. Symptoms.—The Acute Form.—Cases of acute leukaemia ininfancy and childhood have lately been increasing in the literature.The most recent cases include those of McCrae, in a boy aged threeyears, and of Miller, in an infant of eight months. Cases have also DISEASES OF THE BLOOD. 74 been reported by Morse, Japha, Strauss, Monti, Berggriin. The mostfrequent is the lymphatic form. The symptoms in all the publishedcases were similar. In a boy eight years old, admitted to my hospitalservice, there were no premonitory symptoms. Two months beforeadmission he was in good health. He became very pale, there wereirritability and loss of appetite, and the abdomen increased markedlyin size. He complained of pains in the legs, and at the onset hadchills and fever every other day. After the appearance of the chills Fig. 171.
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Acute lymphatic leukaemia. Enlarged lymph-nodes, spleen, and liver,one-half years of age. Boy four and he suffered from a low irregular fever. A week before death, theskin had a waxy color, there were petechia* on the extremities, thegums bled easily, and the lymph-nodes of the axillse and groin wereenlarged. There was an anamie murmur with the first sound of theheart; the liver was enlarged below the free border of the ribs to theextent of two fingers breadth; the spleen was enlarged to the level ofthe umbilicus; the fundus of the eve showed retinal hemorrhages.Examination of the blood showed the hsemofflobin to be reduced to 15 746 LYMPH-NODES, DUCTLESS GLANDS AND BLOOD. per cent. (Fleischl). The red blood-cells numbered 1,012,000 to thecubic millimetre; the white blood-cells, 37,000. There was an im-mense preponderance of lymphocytes (mononuclear). The patientdied with signs of progressive weakness. Coma was preceded byvomiting and the appearance of a few petechia?. The blood state

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