Identifier: diseasesofinfan00fisc (find matches)
Title: Diseases of infancy and childhood
Year: 1914 (1910s)
Authors: Fischer, Louis, 1864- (from old catalog)
Subjects: Children
Publisher: Philadelphia, F. A. Davis company (etc., etc.)
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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are in excessthey must, therefore, have been present in solution in the blood before theirelimination. The presence of uric or lithic acid, xanthin, hypoxanthin, hetero-xanthin, and paroxanthin are the factors causing this trouble. We arestill in the dark concerning the manner in which these bodies act. If the kidneys are diseased these bodies are retained and the skin iscalled upon to do the work which the kidneys fail to do. Thus it is thathot baths which promote diaphoresis eliminate through the skin, in addi-tion to stimulating the action of the kidneys. Symptoms.—The new-born lithsemic infant frequently eliminates anexcess of urates during the first few days of life. In such infants crystalsof uric acid may be precipitated into the tubules of the pyramids of thekidney. Jacobi says that these uric acid infarctions may subsequently bewashed out of the tubules and serve as the nuclei of urinary calculi. Nocturnal incontinence is frequently a symptom of lithaemia. True PLA^K XXXII
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llonoeirs Piirjnirn. Note eecliyniotic spots on loweroxtroniities. (Original.) LITH^MIA. 7()U arthritic gout resulting from uratic deposits in the tissues about the jointsis very rare in childhood. Fever, crying while the child passes urne, scanty urine which usuallydeposits a reddish sand on the diaper, and irritation of the external genitalsare the symptoms which appear at the time of urination. Jlie urine isvery acid and we speak of this condition as a uric acid form of lithaemia.^^Sometimes there are gastro-enteric manifestations, such as vomiting, head-ache, gastric pain, convulsions, a sickening odor of the breath, and consti-pation. These gastric symptoms bear no relation to improper diet. Theyare usually met with in children who are carefully guarded as to the diet.Such children are extremely nervous and irritable. Eczema is a very com-mon manifestation of this condition. Unless a proper understanding ofthis condition exists it will persist and be difficult to relieve. The uri

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