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BULLETIN N. C. BOAKD OF HEALTH. 92 PELLAGRA. By Edward J. Wood, M. D., and R. Harlee M. D.. Pellagra Commis- sion of the North Carolina Board of Health. occurrence in north carolina. There is satisfactory proof that at least one case of pellagra occurred in this State as far back as 1SS9, and that there have been sporadic cases ever since that time. It is not probable that in its epidemic or endemic forms the disease was long overlooked. One of the first physicians in North Carolina to correctly diagnose pellagra was Dr. John B. Wright, of Lincolnton. In 1905 in the practice of one of us (Bellamy) there appeared a peculiar disease, which was utterly unknown to any of us. There were four cases in one house. The people were negroes of the better class. The symptoms were stomatitis, diarrhea and symmetrical erythema of the exposed parts of the body. Three of these cases died, and the death certificate was made out Raynaud's disease. From that time to 1907 the disease occurred sporadically, and long before the diagnosis was correctly made we had become familiar with its varied manifestations, and especially the very characteristic disease picture as a whole. In 1907 one of us (Wood) reported a number of these cases to the Section of Medicine of the American Medical Association. In the meanwhile, however, one of us (Bellamy), during the session of the American Medical Association had a marked case from a distance, in which he made by exclusion the diagnosis of pellagra. Soon after Wood's paper appeared letters were received from several sources in Alabama which suggested that pellagra was the correct diagnosis. It is really to the work of Searcy, of Alabama, that we are indebted for clearing up one of the most difficult questions of diagnosis that could have been propounded, for we had been taught of pellagra only that we need know nothing about it, as it did not occur in America. The first announcement of the presence in this State was made in the Bulletin for May, 190S. At the meeting of the State Medical Society in June of the same year the matter was brought up in three papers, and it was at once demonstrated in the discussion that the disease was generally distributed throughout the State and had existed for several years. So far we have been able to determine definitely the presence of pellagra in the following counties: Brunswick, New Hanover, Bladen, Pender, Columbus, Duplin, Jones, Lenoir, Cumberland, Robeson, Wayne, Wake, Durham, Orange, Randolph, Union, Mecklenburg, Lincoln. Burke, Buncombe, Anson, Forsyth, Guilford, Craven, Gaston,
Object Description
Rating | |
Fixed Title * | NCHH-03: Bulletin of the North Carolina Board of Health [1886-1913] |
Document Title | Bulletin of the North Carolina Board of Health [1886-1913] |
Subject Topical | Public health -- North Carolina -- Periodicals. |
Subject Topical Other | Public Health -- North Carolina -- Periodicals. |
Description | Published: 1886-1913. |
Contributor | North Carolina. State Board of Health. |
Publisher | Wilmington, N.C. : Secretary of the Board, 1886-1913. |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1909-1910 |
Identifier | NCHH-03-024 |
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 | 24 |
Health Discipline | Public Health |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-03/nchh-03-024.pdf |
Document Sort | all; group-b; nchh-03 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-03-024 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-03 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb1324480 |
Description
Fixed Title * | Page 83 |
Document Title | Bulletin of the North Carolina Board of Health [1886-1913] |
Subject Topical | Public health -- North Carolina -- Periodicals. |
Subject Topical Other | Public Health -- North Carolina -- Periodicals. |
Description | Published: 1886-1913. |
Contributor | North Carolina. State Board of Health. |
Publisher | Wilmington, N.C. : Secretary of the Board, 1886-1913. |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1909-1910 |
Identifier | NCHH-03-024-0091 |
Form General | Periodicals |
Page Type | all; article; article title |
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 | bulletinofnorthc24nort_0091.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 | 24 |
Issue Number | 7 |
Page Number | 83 |
Health Discipline | Public Health |
Full Text | BULLETIN N. C. BOAKD OF HEALTH. 92 PELLAGRA. By Edward J. Wood, M. D., and R. Harlee M. D.. Pellagra Commis- sion of the North Carolina Board of Health. occurrence in north carolina. There is satisfactory proof that at least one case of pellagra occurred in this State as far back as 1SS9, and that there have been sporadic cases ever since that time. It is not probable that in its epidemic or endemic forms the disease was long overlooked. One of the first physicians in North Carolina to correctly diagnose pellagra was Dr. John B. Wright, of Lincolnton. In 1905 in the practice of one of us (Bellamy) there appeared a peculiar disease, which was utterly unknown to any of us. There were four cases in one house. The people were negroes of the better class. The symptoms were stomatitis, diarrhea and symmetrical erythema of the exposed parts of the body. Three of these cases died, and the death certificate was made out Raynaud's disease. From that time to 1907 the disease occurred sporadically, and long before the diagnosis was correctly made we had become familiar with its varied manifestations, and especially the very characteristic disease picture as a whole. In 1907 one of us (Wood) reported a number of these cases to the Section of Medicine of the American Medical Association. In the meanwhile, however, one of us (Bellamy), during the session of the American Medical Association had a marked case from a distance, in which he made by exclusion the diagnosis of pellagra. Soon after Wood's paper appeared letters were received from several sources in Alabama which suggested that pellagra was the correct diagnosis. It is really to the work of Searcy, of Alabama, that we are indebted for clearing up one of the most difficult questions of diagnosis that could have been propounded, for we had been taught of pellagra only that we need know nothing about it, as it did not occur in America. The first announcement of the presence in this State was made in the Bulletin for May, 190S. At the meeting of the State Medical Society in June of the same year the matter was brought up in three papers, and it was at once demonstrated in the discussion that the disease was generally distributed throughout the State and had existed for several years. So far we have been able to determine definitely the presence of pellagra in the following counties: Brunswick, New Hanover, Bladen, Pender, Columbus, Duplin, Jones, Lenoir, Cumberland, Robeson, Wayne, Wake, Durham, Orange, Randolph, Union, Mecklenburg, Lincoln. Burke, Buncombe, Anson, Forsyth, Guilford, Craven, Gaston, |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-03/nchh-03-024.pdf |
Document Sort | all; group-b; nchh-03 |
Article Title | Pellagra |
Article Author | Wood, Edward J. |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-03-024 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-03 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb1324480 |
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