File:An American text-book of the diseases of children. Including special chapters on essential surgical subjects; orthopaedics, diseases of the eye, ear, nose, and throat; diseases of the skin; and on the (14776833834).jpg

Identifier: americantextbook1900star (find matches)
Title: An American text-book of the diseases of children. Including special chapters on essential surgical subjects; orthopaedics, diseases of the eye, ear, nose, and throat; diseases of the skin; and on the diet, hygiene, and general management of children
Year: 1900 (1900s)
Authors: Starr, Louis, 1849-1925 Westcott, Thompson S. (Thompson Seiser), 1862-1933
Subjects: Children Pediatrics Disease
Publisher: Philadelphia, W.B. Saunders
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

View Book Page: Book Viewer
About This Book: Catalog Entry
View All Images: All Images From Book
Click here to view book online to see this illustration in context in a browseable online version of this book.

Text Appearing Before Image:
e cousins; the maternal grandmother had paralysisagitans; the paternal grandmother had bowel consumption. Etiology.—Cretinism is especially prevalent in high mountain-rangesremote from the coast; wet or undrained soil appears to have some influencein its development; and Avater charged with lime and magnesia is commonin the regions in which it is endemic. Practically, the ultimate cause ofcretinism is unknown. Brissaud says that goitrous parents necessarily havecretinoid children. Although goitre may be present and cretinism absent, itis undoubtedly true that where goitre exists to any large extent cretins arelikely to be found. When the goitre is not present, and even in some caseswhere it is, peculiar soft, fatty growths may be found in various parts of thebody, but usually above the clavicle. In the Philadelphia Hospital casegoitre was absent, and also apparently the thyroid, but soft movable masseswere found in the neck. By some these are regarded as distinguishing the PLATE XV.
Text Appearing After Image:
SPORADIC CRETINISM. CBETIXIS3r. 683 sporadic from the endemic and epidemic forms of the disease, but this is amistake. Pathology.—The pathology of cretinism is ill-defined. The statementsof Virchow regarding the premature ossification of the several parts of thebones at the base of the skull have frequently been misunderstood. Ordi-narily, these parts remain separate until puberty, but, according to Virchow,in cretins synostosis may occur at a very early period: this, however, is notthe cause of cretinism. While this osseous peculiarity has been found inmany cretin skulls, in some instances of undoubted cretinism it has not beenpresent, and Ewald also says that it is by no means pathognomonic. Various changes have been found post-mortem and under the micro-scope which are of minor importance; the brain-membranes, and partic-ularly the dura, are sometimes thickened and adherent, as it is in not afew other forms of arrest; great variety in the shape and arrangement ofthe convolutions

Note About Images