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50 ^OllTll CAROLIXA BOARD OF HEALTH. Medical AHsociaiion, harl a latent malaria and the unnsnal condition of a mixed infection with tertian and quartan organisms. ]Mn( h attention has been paid to the occurrence of alcoholism and sypJiilis with pella^rra. This is unimportant except in so far as these conditions lower the resistance. The course of pellai^ra is very variable. In Italy it is no uncommon thing for the outbreak to occur each succeeding spring for twenty years. Each year the patient becomes more wrinkled, more atrophic and more melancholy until, finally, he dies from some intercurrent disease, as broncho-pneumonia or of cachexia. There recently came under our care a typical case of chronic pellagra which is worthy of note. Mrs. W.; age 34 years; Jones County. Family history negative, save for malaria and typhoid. No history of miscarriages. In the spring of 190G she was aft'ected with gastro-intestiual symptoms, one month after the appearance of which the erythema appeared on her hand and the lower third of her forearms. In the spring of 1D07 the same condition recurred. In May. lOOS, the condition made its third appearance, was diagnosed pellagra and reported to me by my colleague. Dr. Thomas M. Green. Her condition was as follows: A poorly nourished woman, much older in appearance than the age given. Symmetrically situated on her forehead were tvv'o patches of desquamating erythema. These patches are about equal to the size of two silver dollars. The same lesion surrounded both eyes. On the upper lid the lesion was more recent, with the presence of crusts and a weeping surface beneath. This lesion extended into the anterior nares. On the skin below the eyes the lesion was older and there is a slight brownish pigmentation. On the backs of both hands from the finger-nails to the middle of tlie forearms posteriorly is this same condition of the moist variety. The lesions were especigilly aggravated over the knuckles and tips of tlie ulna. The same condition was present on the anterior surface, save for the palms, where there was simple redness without exfoliation. Near the upper margins of the arm lesions was found considerable brownish pigmentation. On the back of the neck was a much older lesion, which had caused a tawny pigmentation. Posteriorly this lesion is about two inches in length, but as it extends anteriorly it becomes narrowed, almost meeting in front. The labia puden.di were affected with the moist lesion. Heart and lungs were negative. Spleen and liver negative to palpation and percussion. Urine showed albumen and granular casts. Blood showed a simple anemia of moderate degree. No leucocytosis. Differential leucocyte counts showed no abnormal variations. Blood cultures were taken.
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 50 |
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-01-012-0056 |
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_0056.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 | 50 |
Health Discipline | Public Health |
Full Text | 50 ^OllTll CAROLIXA BOARD OF HEALTH. Medical AHsociaiion, harl a latent malaria and the unnsnal condition of a mixed infection with tertian and quartan organisms. ]Mn( h attention has been paid to the occurrence of alcoholism and sypJiilis with pella^rra. This is unimportant except in so far as these conditions lower the resistance. The course of pellai^ra is very variable. In Italy it is no uncommon thing for the outbreak to occur each succeeding spring for twenty years. Each year the patient becomes more wrinkled, more atrophic and more melancholy until, finally, he dies from some intercurrent disease, as broncho-pneumonia or of cachexia. There recently came under our care a typical case of chronic pellagra which is worthy of note. Mrs. W.; age 34 years; Jones County. Family history negative, save for malaria and typhoid. No history of miscarriages. In the spring of 190G she was aft'ected with gastro-intestiual symptoms, one month after the appearance of which the erythema appeared on her hand and the lower third of her forearms. In the spring of 1D07 the same condition recurred. In May. lOOS, the condition made its third appearance, was diagnosed pellagra and reported to me by my colleague. Dr. Thomas M. Green. Her condition was as follows: A poorly nourished woman, much older in appearance than the age given. Symmetrically situated on her forehead were tvv'o patches of desquamating erythema. These patches are about equal to the size of two silver dollars. The same lesion surrounded both eyes. On the upper lid the lesion was more recent, with the presence of crusts and a weeping surface beneath. This lesion extended into the anterior nares. On the skin below the eyes the lesion was older and there is a slight brownish pigmentation. On the backs of both hands from the finger-nails to the middle of tlie forearms posteriorly is this same condition of the moist variety. The lesions were especigilly aggravated over the knuckles and tips of tlie ulna. The same condition was present on the anterior surface, save for the palms, where there was simple redness without exfoliation. Near the upper margins of the arm lesions was found considerable brownish pigmentation. On the back of the neck was a much older lesion, which had caused a tawny pigmentation. Posteriorly this lesion is about two inches in length, but as it extends anteriorly it becomes narrowed, almost meeting in front. The labia puden.di were affected with the moist lesion. Heart and lungs were negative. Spleen and liver negative to palpation and percussion. Urine showed albumen and granular casts. Blood showed a simple anemia of moderate degree. No leucocytosis. Differential leucocyte counts showed no abnormal variations. Blood cultures were taken. |
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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