or Sweating Miliary

children, red and eruption

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Among the anomalous forms of the disease is that without eruption and that without sweating.

Epidemic of miliaria which affected children almost exclusively. In one town 3S children of 100 were affected, and in 21 instances more than one member of a family was attacked. There were two or three days of malaise, loss of appetite, and tendency to vomiting. On the third day an eruption appeared as a diffuse redness, most marked in the face; the red parts being covered profusely with white sudamina. There was slight diffi culty in swallowing. The red eruption was not always present, but the miliaria were constant. The throat and the soft palate were usually brilliantly red. Stoedesandt and Hocke (Berliner klim Woeh., Aug., '98).

Etiology.—Miliary fever is not trans missible by contact, but by infection,. according to Thoinot. lt is, in all prob ability, of microbic origin. The period of incubation may be very short,—less than twenty-four hours. The maximum period cannot be fixed. Neither age nor sex appears to have any influence upon susceptibility, but the disease manifests a curions predilection for children and robust inen, as also for alcoholics. It is

endemo-cpidemic in France, England, Germany, and Italy. It recurs in the same patient. It may pass from the mother to the fcetus.

Most epidemics occur in the spring and summer.

Beport of epidemic that occurred in _Austria 111 1893 and which continued ...A duce months. Ont of the entire i ut_iti, i• of the dtstrict, 50;9 persons, -.nth d: children, 17 men, and 14 %% men. :Schaffer t Wiem med. !Witter, :s.o. 32, '113 .

Treatment. - The treatment is purely the aim being to alleviate ,mtati.ui of the skin. Bran hike % ar.t.. loth, or sp mging with lime-water tend ‘-rtativ to allay the itching and en (..•tir2.,:t. the resolution.

ltitL rnallv. quinine has been found di tadous. Calomel in small doses, when ltnin•,ttred early, is thought to shorten dis.)rdt.r. The measures adopted for t trtatincnt of scarlatinous rash is also here.

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