JAUNDICE. 39 



Infants, however, are sometimes prone to attacks of 

 real Jaundice, the symptoms and causes of which shall 

 receive due consideration in their proper place. 



The spurious form of Jaundice already referred to is 

 easily distinguished from a genuine attack by 



The conjunctivas being of the natural colour, 



The urine being free from bile-pigment, 



The gradual fading of the yellow colour of the skin, 

 after a few days ; and by the infant appearing quite 

 well, the bowels acting regularly, and the secretions 

 being of a normal colour. 



Fifthly, to the close observer ; that peculiar bronzing 

 of the skin arising from disease of the Supra-Renal 

 Capsules, known as Addison's disease; or that form of 

 cutaneou- >T known as leucoderma, is not very 



likely to be mistaken for an attack of Jaundice ; it 

 ditters materially in the browner or more dusky nature 

 of the discolouration 



It being 'darker in some parts of body than others, 

 such as the face, neck, hands, areola of the nipples, 

 axilla-, penis, and scrotum ; 



In the extreme anemia and frequent vomiting; 



In the whiteness of the conjunctiva?; and 



In the absence of bile-pigment from the urine. 



1'inally There is a spurious form of Jaundice which 



has occasionally been successfully feigned by soldiers 



and sailors desirous of deserting the flag of their country, 



h it wuiild In- well for those who may be called upon 



;iion to bear in mind. 



In such cases the yellow colour of skin has been 

 simulated by painting it with infusion of saffron, 

 turmeric, rhubarb, broom-flowers, or soot; whilst the 



