File:The diseases of infants and children (1919) (14596691958).jpg

Identifier: diseasesofinfant01grif (find matches)
Title: The diseases of infants and children
Year: 1919 (1910s)
Authors: Griffith, J. P. Crozer (John Price Crozer), 1856-1941
Subjects: Infants Children Disease Pediatrics
Publisher: Philadelphia, London, W.B. Saunders company
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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^ studied by Lemaistre^ in1886 and called La Perleche, is not of very frequent occurrence. TheFrench name is derived from the tendency of the patient to lick the affectedareas (pour lecher). Etiology.—It effects especially early childhood, being rarely seen inadults; is favored by the presence of a state of debility and by unclean-liness; and would even appear to be contagious, since several members ofone family may be attacked, or it may occur epidemically in schools.A streptococcus has been described by Lemaistre.
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Fig. 226.—Erosions at the Angles of the Mouth.(Epstein, Jahrh. f. Kinderheilk., 1900, LI, 317.) Symptoms.—The lesions consist of small, fissure-like ulcers arrangedradially at the labial angle, generall)^ at both sides. The skin is red andswollen, and under the influence of the moistening by the constant applica-tion of the tongue a grayish ulcer of larger size may develop (Fig. 226).The lesions arc painful, but do not affect the child in other respects.The course is favorable and recovery takes place in from 2 to 4 weeksunder treatment, leaving no scars in the majority of instances; but with-out treatment the course may be prolonged and may become chronic.Except in severe cases there is no lymi)hatic involvement. Diagnosis.—^This is a matter of importance since the lesions ))ear aresemblance to the placjues of syphilis. Thej differ in that the fissuresnever extend into the mouth nor deeply into the tissues; are withoutinduration at the base; and are not strictly limited to the

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