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Article
November 1928

HEALING IN INFANTILE SCURVY AS SHOWN BY X-RAY

Author Affiliations

NEW YORK; BALTIMORE
From the Babies' Hospital and Department of Diseases of Children, College of Physicians and Surgeons, Columbia University, New York.

Am J Dis Child. 1928;36(5):875-930. doi:10.1001/archpedi.1928.01920290003001
Abstract

Any advance in the knowledge of a disease as widely known as scurvy can be achieved only by first studying the results of the painstaking accumulation of facts made by a host of observers. By pyramiding the roentgenologic investigations of others and using this as a base line for further study, the task of amplifying the information concerning the osseous lesions in this disease has been made easier for us.

Although numerous contributions to the literature of infantile scurvy have appeared in recent years, and among them several which deal mainly with its roentgenologic manifestations, they have for the most part been concerned largely with some particular phase of the disease. Thus, Pelkan,1 Wimberger,2 Néchitch,3 and Baetjer4 have considered the problem of differential diagnosis in acute scurvy. Wimberger,5 Frank,6 and, more recently, Schwartz,7 have stressed the late manifestations and retrospective diagnosis. In his

References
1.
Pelkan, K. F.:  The Roentgenogram in Early Scurvy , Am. J. Dis. Child. 30:174 ( (Aug.) ) 1925.
2.
Wimberger, H.: Ztschr. f. Kinderh. 36:279, 1923;Article
3.
Fortschr. a. d. Geb. d. Roentgenstrahlen 32:17, 1924
4.
Ergebn. d. inn. med. u. Kinderh. 28:288, 1925.
5.
Néchitch, A. R.: Scorbut infantile, Thesis, Univ. Paris, 1924.
6.
Baetjer, F. H.:  Differential Diagnosis by X-Ray between Rickets, Syphilis, Scurvy, and Condition known as Perthé's Disease , M. Clin. N. Amer. 2:1703 ( (May) ) 1919.
7.
Wimberger (footnote 2, third reference).
8.
Frank, H. M.: Ztschr. f. Kinderh. 27:127, 1920.Article
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Schwartz, A. B.:  The Epiphyseal Changes in the Diagnosis of Scurvy , Am. J. Dis. Child. 34:765 (Nov.) 1927.
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Fraenkel, E.: Fortschr. a. d. Geb. d. Roentgenstrahlen , 1908, vol. 18.
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Bromer, R. S.:  The Roentgen-Ray Diagnosis of Infantile Scurvy , Am. J. Roentgenol. 19:112 ( (Feb.) ) 1928.
12.
Eliot, Martha M.; Souther, Susan P., and Park, E. A.:  Transverse Lines in X-Ray Plates of the Long Bones of Children , Bull. Johns Hopkins Hosp. 41: 364 ( (Dec.) ) 1927.
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Lehndorff, H.: Arch. f. Kinderh. 38:161, 1904.
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Alexander, Béla:  Die ostealen Veränderungen bei kongenitaler Syphilis , Leipzig, J. A. Barth , 1915.
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Fraenkel, E.: Die kongenitale Knochensyphilis im Röntgenbilde , Hamburg, Lucas Gräfe & Sillem, 1911.
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Reyher, P.: Das Roentgenverfahren in der Kinderheilkunde , Berlin, 1912.
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Gött, H.:  Roentgenuntersuchungen in der Kinderheilkunde , in Rieder-Rosenthal; Lehrbuch d. Roentgenkunde , Berlin, 1918.
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Footnote 8, tables II and IV.
19.
Aschoff, L., and Koch, W.: Veröffent. aus d. Geb. d. Kriegs u. Konstitutionspathol. , Jena, 1919.
20.
The tabular surveys represented by tables 1, 2 and 3 cover an analysis of fifty-one patients who entered the hospital at the time they had active scurvy. Another patient, who in his acute illness in infancy was under the care of Dr. Frank McLean and who was treated at home, has not been included in these but has been included in table 4. At the age of 13 years he still showed roentgenographic evidence of the disease in the epiphyses. Dr. George B. Bader assisted us in obtaining a follow-up examination of this patient.
21.
Hess, A.: Scurvy, Past and Present , Philadelphia, J. B. Lippincott Company, 1920.
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