The mortality is still high, as the diagnosis is often not made, though it is to be hoped that with increasing knowledge of the characteristic symptoms, the ability to make the diagnosis will be improved, and with this the prognosis.
a marked anemia develops Ivith artificial feeding it is advisable, in order to rectify the diet, to give fresh food occasionally. Sterilized or prepared milk should not be given over a long period of time without the addition of fresh fruit. or vegetables; and in general fresh briefly boiled milk should be used. Uniformity of diet for many months should be avoided and malnutrition corrected as soon as possible.
treatment of this disease is generally as easy as it is satisfactory. A proper change in diet, without the help of any medication, leads in a short time, even quicker than in ordinary scurvy, to a complete revolution in the objective and subjective condition of the patient. Severe conditions and menacing appearances diminish in a'n almost magical manner. In place of the food which has heretofore been given, the child should receive fresh, at most briefly heated, or still better raw, cow's milk, if such is to be had from a reliable source.
Besides this two to four teaspoonfuls per day of raw meat juice should be given, and the same amount of fresh fruit juice (obtained according to the season of the year from oranges, grapes, lemons, cherries, cur rants, blackberries, apples, pears, apricots, huckleberries, etc.) sweet ened with sugar.
To children in the second or third years one can give in addition to the fresh milk, potato, vegetable soup (carrots, cabbage, cauliflower, spinach), stewed fruit., green salads, and finally chopped meat. The food is usually taken eagerly. After one or two weeks the symptoms will for the most part have disappeared. If gastric or intestinal catarrh exists one may give briefly-boiled milk with oatmeal gruel, currant, blackberry or elderberry juice, chicken jelly, or better still, breast-milk, even to children over one year of age.
The tenderness of the limbs, the fractures, etc., demand rest, avoid ance of all unnecessary handling, and local applications. The complete repair of the bone lesions may be delayed for several months.