﻿510 The Philippine Journal of Science isu 



CASE I 



N. C, Filipino woman, 24 years old, married to an American. She was 

 admitted to the hospital on June 6, 1914, and delivered on the same day. 

 Family history is negative. Previous history is unimportant, except that 

 she states that she is prone to have a rash after eating several mangos. 

 The patient is fairly well developed and well nourished, and shows no signs 

 of dyspnoea or discomfort. Examination of the systems is negative. 



The baby (female) was normally delivered, and is fairly well developed. 

 This is the fourth child. Subjective examination of the systems is negative. 

 The skin is light colored. 



June 6. Four mangos only were given this day. 



June 7. Examination of the mother showed a few papulomacular areas 

 with some vesicles. These are of a uniform size, about that of a pinhead 

 or a little larger, and are purplish red. These eruptions are located on 

 the interscapular region, and itch considerably. Temperature is normal. 

 She is constipated. 



Examination of the baby is negative. 



June 8. The mother has developed more areas of the same kind on her 

 back. She complains of marked itching. She is constipated. 



The baby is apparently normal. 



June 9. Some vesicular eruptions of about a pinhead in size have 

 appeared on both sides of the neck of the mother. She complains of 

 marked itching. She was given a cathartic this morning, and had four 

 bowel movements. 



The baby shows a few maculopapular eruptions on the cheeks. These 

 are about 1 millimeter in diameter. 



June 10. The mother has developed numerous papular vesicles on her 

 chest and neck and a few on the extensor surfaces of both arms. The 

 temperature is normal. She has had 6 bowel movements. 



The eruptions on the baby's face have disappeared, but she has developed 

 a few vesiculopapular areas on the neck. In the afternoon of the same 

 day the rash had appeared abundantly on the neck and to a slight extent 

 on the back. The baby is otherwise comfortable. No subjective symptoms 

 of any kind were noted. 



June 11. Examination of the mother shows an extensive acute vesiculo- 

 papular rash on her chest, back, and neck. Her bowels are normal. Tem- 

 perature is normal. She complains of marked itching. 



The baby has developed a few eruptions on the extensor surfaces of the 

 lower extremities. Those on the neck and back are still present. 



June 12. In the mother, the rash is not so acute as on the previous day. 

 Itching is very much diminished. 



The baby still shows a few areas on the neck, but those found on the 

 extremities have almost disappeared. 



June 13. The mango feeding was discontinued. Calomel and saline 

 purgative were given to the mother, and she had two bowel movements. 

 She no longer complains of itching. Both mother and baby look very much 

 as on the previous day. 



June 15. The eruptions on the chest and back of the mother are very 

 much diminished, and the vesicles are in a drying condition. 



The baby has developed a few more papulovesicular eruptions on the 

 neck. Those found on other parts of the skin have disappeared. 



