REFERENCES 



1253 



Some days after the crisis there is a furfuraceous desquamation associated 

 with pruritus on the palms of the hands and soles of the feet, and at the same 

 time there is a considerable loss of hair and a bitter taste in the mouth. 



Diagnosis. — It can be distinguished from malaria, relapsing fever, etc., by 

 the absence of parasites in the blood, and from measles by the absence of the 

 catarrhal symptoms, from scarlet fever by the absence of a sore throat, and 

 from typical dengue fever by the temperature tracing. 



Treatment. — The treatment is purely symptomatic, but it is recommended 

 that injections of caffeine be administered on the sixth day to prevent a 

 possible attack of cardiac failure. 



IM-PYENG. 



According to Landis and Matignon, there exists in Corea a fever called 

 by the inhabitants Im-Pyeng. It is most frequently met with in the country 

 districts from February or March to July, when it is most common among 

 the poor, but affects all classes of society. It would appear to us to be allied 

 to dengue fever. 



iffiJtioIogy. — The causation is unknown, but it is regarded as contagious by 

 the inhabitants of Corea. Matignon considered that it resembled relapsing 

 fever, but was unable to find a Spivoschaudinnia in the blood. 



Symptomatology. — The disease begins with headache, backache, or vague 

 pains, which may become violent, while the temperature may rise to over 

 104° F. in the evening, but remits considerably in the morning, rising again 

 in the evening to about 102° F., and again remitting considerably in the morn- 

 ing, and this fever may be accompanied with delirium. The fever continues 

 for some seven to ten days, but usually after the sixth or seventh day the 

 fever declines, and reaches normal in twenty-four to thirty-six hours, this 

 decline being associated with a profuse perspiration. 



Sequelae. — The patient is left with both general and cardiac weakness after 

 an attack. 



Treatment,— Quinine sulphate in association with antipyrin is the treatment 

 usually adopted. 



REFERENCES. 

 Dengue Fever. 



AsHBURN AND Craig (1907). The Philippine Journal of Science, ii. 93. 

 Castellani (1917). Journ. of Trop. Med., August 15. (1918) Ann^ Med. 

 Navale. 



Charles (1872). Indian Medical Gazette, p. 25. 

 Clair (191 i). Traite de Grail et Clarac. Paris. 



Cleland, Bradley and McDonald (1916). Med. Journ. of Australia, 

 Nos. 10 and 1 1 . 



Coleman (1907). Osier and McCrae's System of Medicine, ii. 489. 

 Dickson (1828). American Journal of Medical Sciences, iii. 3. 

 Graham (1903). Journal of Tropical Medicine, vi. 209. 



Manson (1906). Allbutt and Rolleston's System of Medicine, vol. ii., part ii., 

 P- 345- 



Manson (191 S). Tropical Diseases. 



Rogers (1908). Fevers in the Tropics, p. 242. 



Ross, P. H. (1908). Annals of Tropical Medicine and Parasitology, ii. 193. 

 (Prevention.) 



Van de Burg (1905). Mense's Tropenkrankheiten, ii. 95. 



Seven Days' Fever. 



Rogers (1908). Fevers of the Tropics. Oxford. 



Dengue-like Fevers. 



Deeks, W. E. (191 2). Journal of American Medical Association, 

 Perry, J. C. (1912). United States Pubhc Health Reports. 

 PoLECK {191 2). Arch. f. Schiffs- u. Tropen-Hygiene. 



