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TWELFTH BIENjNTIAL REPORT. 53 sideratioii separate and apart would be difficult and hardly profitable, it being in reality only one of the late manifestations of the malady known as pellagra, which has been comprehensively defined by Van riarlingen as a "complex disease characterized by a class of symptoms : A s(iuanious erythema confined to those portions of the skin which are exposed to the action of heat and light. "2. A chronic inflammatory condition of the digestive passages, shown chiefly by obstinate diarrhoea. A more or less severe lesion of the nervous system, leading at times to mental alienations and paralysis. *^These various symptoms are at first insignificant and in a certain way periodic. They begin or recur in spring and diminish or disappear in winter. Later they become persistent, more and more marked, and finally terminate fatally." Pellagra has been laiown to exist in Italy, Spain, and adjacent countries for more than a century and a half, and was scientifically investigated in Italy as far back as the year 1771; but until quite recently there has been very little said in this country on the subject. In fact, the existence of tlie disease has been denied by some of the most emhient medical writers of I'ecent years, the subject being dismissed with brief mention and the statement tliat it is a disease confined to certain European countries. It is true that cases simulating pellagra were reported in the early sixties by Dr. Gray, of New York, and Dr. DeWolfe, of Nova Scotia; but the genuineness of these was questioned at the time and the disease either disappeared or was overlooked (the former, most likely) until attention was again called to it by the publication within the past year of the observations of Drs. Searcy, of Alabama; Babcock, of South Carolina; Wood, of this State, and possibly others, though some doubt apparently existed in the minds of some of these observers, as is evidenced by the fact that Dr. Babcock presents his able, and to my mind convincing paper, in the form of a query. My own experience leads me to believe that we now have in this country, probably a recent development, a grave and usually fatal disease identical with the pellagra of southern Enroi»e, and which may, under favorable conditions, gain the proportions of an epidemic. During the past four years I have, from time to time, encountered mental cases presenting certain definite and rather uniform manifestations and associated with a peculiar skin eruption, which I was unable to fit into any recognized classification; yet I realized that I was dealing with a distinct entity, and it was not until the earlier of the last referred to papers came into my hands that I was convinced that the disease in question was pellagra and the mental disturbance present constituted pellagrous insanity jiure and simple. In support of this belief I wish to recount the chief etiologic and symptomatic features as observed in twelve of these cases, with spe-
Object Description
Rating | |
Fixed Title * | NCHH-01: Biennial Report of the North Carolina Board of Health [1879-1908] |
Document Title | Biennial Report of the North Carolina Board of Heath [1879-1908] |
Subject Name | North Carolina. State Board of Health -- Statistics -- Periodicals. |
Subject Topical | Public health -- North Carolina -- Statistics -- Periodicals. |
Subject Topical Other | Public Health -- North Carolina. |
Creator | North Carolina. State Board of Health. |
Publisher | Raleigh : News & Observer, 1881-1909. |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1907-1908 |
Identifier | NCHH-01-012 |
Form General | Periodicals |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 12 |
Health Discipline | Public Health |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-01/nchh-01-012.pdf |
Document Sort | all; group-a; nchh-01 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-01-012 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-01 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb2375274 |
Description
Fixed Title * | Page 53 |
Document Title | Biennial Report of the North Carolina Board of Heath [1879-1908] |
Subject Name | North Carolina. State Board of Health -- Statistics -- Periodicals. |
Subject Topical | Public health -- North Carolina -- Statistics -- Periodicals. |
Subject Topical Other | Public Health -- North Carolina. |
Creator | North Carolina. State Board of Health. |
Publisher | Raleigh : News & Observer, 1881-1909. |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1907-1908 |
Identifier | NCHH-01-012-0059 |
Form General | Periodicals |
Page Type | all; organizational news |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Filename | biennialreportof12nort_0059.jp2 |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 12 |
Page Number | 53 |
Health Discipline | Public Health |
Full Text | TWELFTH BIENjNTIAL REPORT. 53 sideratioii separate and apart would be difficult and hardly profitable, it being in reality only one of the late manifestations of the malady known as pellagra, which has been comprehensively defined by Van riarlingen as a "complex disease characterized by a class of symptoms : A s(iuanious erythema confined to those portions of the skin which are exposed to the action of heat and light. "2. A chronic inflammatory condition of the digestive passages, shown chiefly by obstinate diarrhoea. A more or less severe lesion of the nervous system, leading at times to mental alienations and paralysis. *^These various symptoms are at first insignificant and in a certain way periodic. They begin or recur in spring and diminish or disappear in winter. Later they become persistent, more and more marked, and finally terminate fatally." Pellagra has been laiown to exist in Italy, Spain, and adjacent countries for more than a century and a half, and was scientifically investigated in Italy as far back as the year 1771; but until quite recently there has been very little said in this country on the subject. In fact, the existence of tlie disease has been denied by some of the most emhient medical writers of I'ecent years, the subject being dismissed with brief mention and the statement tliat it is a disease confined to certain European countries. It is true that cases simulating pellagra were reported in the early sixties by Dr. Gray, of New York, and Dr. DeWolfe, of Nova Scotia; but the genuineness of these was questioned at the time and the disease either disappeared or was overlooked (the former, most likely) until attention was again called to it by the publication within the past year of the observations of Drs. Searcy, of Alabama; Babcock, of South Carolina; Wood, of this State, and possibly others, though some doubt apparently existed in the minds of some of these observers, as is evidenced by the fact that Dr. Babcock presents his able, and to my mind convincing paper, in the form of a query. My own experience leads me to believe that we now have in this country, probably a recent development, a grave and usually fatal disease identical with the pellagra of southern Enroi»e, and which may, under favorable conditions, gain the proportions of an epidemic. During the past four years I have, from time to time, encountered mental cases presenting certain definite and rather uniform manifestations and associated with a peculiar skin eruption, which I was unable to fit into any recognized classification; yet I realized that I was dealing with a distinct entity, and it was not until the earlier of the last referred to papers came into my hands that I was convinced that the disease in question was pellagra and the mental disturbance present constituted pellagrous insanity jiure and simple. In support of this belief I wish to recount the chief etiologic and symptomatic features as observed in twelve of these cases, with spe- |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-01/nchh-01-012.pdf |
Document Sort | all; group-a; nchh-01 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-01-012 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-01 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb2375274 |
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