SCURVY 311 



Bahrdt and Edelstein (1023) analyzed the various organs in infan- 

 tile scurvy. The bone-marrow was poor in solids, calcium and phos- 

 phorus. This was also true of the muscles; normal figures were 

 obtained for the other organs. 



THERAPY 



Since we have already spoken of the antiscorbutic value of various 

 foodstuffs, we need not go further into the matter at this point. 

 On using antiscorbutics, the symptoms disappear, in most cases, 

 after 2 weeks. Even severe symptoms, such as hydropericardium 

 and hydrothorax are very favorably influenced. Still, when the cases 

 have progressed too far, curative results may not be obtained. 

 Paget (1024) treated 133 cases with camel's milk, with good results. 

 As for lemon juice, 24 cc. daily appear to be sufficient for prophylaxis. 

 Germinated peas and beans are also used in practice. They were 

 given to Serbian soldiers, with good results, by Wiltshire (I.e. 806). 

 The treatment of postscorbutic conditions was described by Schul- 

 hof (1025). 



As for the therapy in Barlow's disease, it consists in the addition 

 of raw or concentrated milk, orange peel extracts, canned tomatoes 

 (Hess and linger, I.e. 668), and natural fruit juices (Delille, 1026). 

 Hess and Unger (I.e. 637) reported successful intravenous therapy 

 with neutralized orange juice. Harden, Zilva and Still (1027) have 

 used dry lemon juice preparations with great success. 



With regard to blood transfusion therapy, Hess (I.e. 918) did not 

 find much vitamine C in blood so that a large amount of blood would 

 have to be used for curative purposes. Similarly, Rueck's (1028) 

 results did not appear any more certain. With a well chosen 

 antiscorbutic, the therapy is almost magical. In 24 to 48 hours, 

 the curative effect is already distinctly obvious. 



