88 The Philippine Journal of Science 1913 



of the similarity of some of the clinical and pathological manifes- 

 tations of status lymphaticus and those of beriberi. In a well- 

 developed case of beriberi with neuritis, oedema, and gastric 

 and cardiac disturbances, there is no danger of confusion of 

 the two diseases. But in cases of sudden death where clinical 

 observations have been meager or not made at all, both condi- 

 tions should be borne in mind. Their occasional similarity, 

 coupled with the extreme frequence of the diagnosis of beriberi 

 and the complete absence of that of status lymphaticus in the 

 records of the statistical division of the Bureau of Health, would 

 seem to make it very probable that some cases of status lympha- 

 ticus have been classified as cases of beriberi. The clinical symp- 

 toms of infantile beriberi recently described by Andrews (16) 

 of this department are frequently those which have been recog- 

 nized as characteristic of status lymphaticus, and the appearance 

 of the child is practically the same. This is especially true of 

 those cases referred to by Andrews as those of the acute per- 

 nicious type of infantile beriberi. The anatomical findings in 

 the two diseases are frequently very similar, the degeneration of 

 the nerves which can only be recognized by appropriate micro- 

 scopic technique being the only characteristic of infantile beriberi 

 which has not been found in cases of status lymphaticus. The 

 possibility of the association of the two conditions should be 

 recognized. 



LITERATURE 



(1 



(2 



(3 



(4 



(5 

 (6 

 (7 



(8 



(9 



(10 



(11 

 (12 

 (13 

 (14 

 (15 

 (16 



Whitmore, a. Lancet (1911), 181, 752. 



Hammar. Arch. f. Anat. u. Physiol. — Anat. Abth. (1906), Suppl., 91. 



WiESEL, J. Ergeb. d. allg. Path. (1912), 15, 416. Complete biblio- 

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Friedleben, a. Die Physiologie der Thymusdriise in Gesundheit und 

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Paltauf, a. Wien. klin. Wochensch. (1889), IV, 46, 877. 



Bartel. Ibid. (1908), 21, 783. 



Von Neusser, E. Zur Diagnose des Status Thymico-lymphatlcus. 

 W. Braumiiller, Wien u. Leipzig (1911). 



Shridde. Deutsche med. Wochenschr. (1911), 23, 1103. 



WiESEL, J. Internat. Clin. (1905), II, 15, 250. 



KoLiSKO. Handbuch der arztlichen Sachverstandigentatigkeit 

 (1906), 2. 



EscHERiCH. Berl. klin. Wochenschr. (1896), 33, 645. 



Rowland. Trans. Am. Pediat. Soc. (1907), 19, 52. 



Capelle. Munch. Med. Wochenschr. (1908), 55, 1826. 



Bartel. Wien. klin. Wochenschr. (1910), 23, 495. 



Miloslavich. Virchow's Arch. (1912), 208, 44. 



Andrews, Vernon L. Phil. Joum. Sci., Sec. B (1912), 7, 67. 



