Identifier: uncinariasishook00ashf (find matches)
Title: Uncinariasis (Hookworm disease) in Porto Rico : a medical and economic problem
Year: 1911 (1910s)
Authors: Ashford, Bailey K. (Bailey Kelly), 1873-1934 Gutiérrez Igaravidez, Pedro Puerto Rico. Anemia Commission
Subjects: Anemia Hookworm disease Medical statistics Hookworm Infections
Publisher: Washington : Govt. Print. Off.
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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, the eyelids looking as if dry cups had beenapplied, and when her pulse was taken the impression of the wholehand was left deepty sunken in the enormously swollen wrist; yetshe recovered and became perfectly well, rosy, and fat, running from20 to 98 per cent hemoglobin. But edema often results from a remotecardiac lesion, due to fatty degeneration or valvular sclerosis, conse-quent upon some previous attack of uncinariasis. We had such acase, an old man with 65 per cent hemoglobin, almost as edematousas the above cited. He lingered 55 days, had no uncinarire after hissecond week of treatment, and died of valvular disease of the heart,a sequela of uncinariasis. The urine was examined for albumin ina number of our most edematous cases with negative result, and wewere unable to demonstrate that it was due to nephritis. In the Ponce series of 1899, 8 were edematous, 3 intensely so. Thelower extremities were affected in 4, both upper and loAver extremitiesin 1, and 1 had general anasarca.
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TYPICAL FACIAL EXPRESSION OF THE SUFFERERS. UNCINARIASIS IN PORTO RICO. 55 In the Ponce series of 1902,15 were edematous. Two had edema ofthe feet alone, 4 of the feet and legs, 4 of the face, feet, and legs, and5 had general anasarca. In the Utuado series of 1904, 50 were edematous. Twenty-one hadedema of the lower extremities, 8 of the face and lower extremities,4 of the face, upper, and lower extremities, 3 of the face alone, 1 ofthe face and upper extremities, 1 of the face and trunk, and 12 hadgeneral anasarca. Eight of the 50, apart from the cases of anasarca,were noted as having been very extreme. Nine had no edema, and in2 cases there was no remark made upon this symptom. In the Rio Piedras series of 1900 all had edema, 7 of the lowerextremities and 5 of the face and lower extremities. Therefore, of 111 cases (it is true, marked or very marked in over90 per cent) 76 per cent suffered from edema. As a matter of fact, however, in the out-patient clinic only severecases were edem

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