microscopic picture at the costochondral junction differing widely from
that seen in the acute stage. Not only are the columns of cartilage
cells represented merely by misshapen vestiges, but an ossified band
(Fig. 9) is seen at the junction. It is probable that this is
frequently the cause of the marked cessation of growth which has been
described in connection with this type of scurvy in infants. Delf and
Tozer interpret this ossified band at the junction as "an attempt to
strengthen the junction in an abnormal manner, the normal process having
broken down." If the animal is again deprived of antiscorbutic food the
ossified band breaks down, the junction becomes deformed and
disorganized, and a condition of "chronic scurvy (acute)" is stated to
have developed.
[37] These changes are not found in every specimen, so that in order to
be able to exclude scurvy definitely, it is necessary to examine a
considerable number of ribs; several may be normal, only one or two
showing the characteristic microscopic changes.
[Illustration: FIG. 9.--Diagrammatic representation of guinea-pig scurvy
(copied from Delf and Tozer by the courtesy of the Cambridge Press).
1. Diagram of normal rib-junction.
2. Diagram of rib-junction to illustrate "Incipient Scurvy." This
rib-junction is very nearly normal, but shows what may be regarded as
the first recognizable signs of the onset of the disease; these are:
(_a_) An appearance of general abnormality (when compared with the
normal). (_b_) Unevenness of the junction and slight disorganization of
the rows of cartilage cells. (_c_) Shortening of the length of the rows
of cartilage cells. (_d_) Shortening, and decrease in number of the
trabeculæ. (_e_) Increased amount of blood in the marrow cavity.
3. Diagram of rib-junction to illustrate "Definite Scurvy." Histological
signs vary considerably in these cases (according to the severity of the
disease), and may approach in appearance those characteristic of the
"Acute" condition. The rows of cartilage cells may be almost normal, but
are more often noticeably shortened and usually somewhat disorganized or
arranged in circular groups. The trabeculæ are usually about half the
normal length and have a truncated appearance. The junction as a whole
may present an uneven, slightly disorganized appearance and there is
sometimes a certain amount of macroscopic deformity.
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