May 29, 1948


JAMA. 1948;137(5):465-466. doi:10.1001/jama.1948.02890390043012

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The clinical application of fundamental principles of nutrition is not abreast of increasing knowledge of nutrition. Infants with rickets or scurvy still appear frequently in the pediatric clinics of many of our teaching institutions. Recently a relatively small pediatric service admitted 3 infants with frank scurvy in as many months. The gratitude of the teaching staffs for such teaching material is exceeded only by the embarrassment of rationalizing the occurrence of such cases to the medical student. From his earliest days in medical school, the modern student has been taught that prophylactic administration of vitamins C and D should reduce scurvy and rickets to obsolescence.

Association of scurvy with poverty, malnutrition and lack of medical care is no longer entirely valid. Many recent cases have arisen in families of moderate economic circumstances and have demonstrated optimal gains in length and weight. Usually patients have been observed at regular intervals by

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