These fractures knit rapidly when an antiscorbutic is given, but
result at times in deformity.
_Loosening of the teeth_ is another typical sign. It is, however, one
which does not appear early and is somewhat difficult to elicit. The
molar teeth are generally involved, especially those of the upper jaw,
which may be so completely separated from their alveolar sockets that
they can readily be removed by forceps. It is, however, impossible to
examine the molar teeth satisfactorily during life. Far less frequently
an incisor tooth becomes loosened; more often it loses its glistening
appearance and looks dull and yellowish. Occasionally an incisor tooth
fractures. The gums are rarely altered sufficiently to aid diagnosis;
not infrequently they are congested or bluish, rarely hemorrhagic, and
never ulcerous or spongy. This is the chief difference between the
symptomatology of scurvy in the guinea-pig and in man, and probably is
the result of lesser susceptibility of the former to infection by
pyogenic bacteria. In general, however, the disorder in the guinea-pig
bears a closer analogy to infantile than to adult scurvy; due to the
fact, possibly, that young pigs are generally used for the experiments.
A sign of great interest, although not of diagnostic importance, is the
_"beading" of the ribs_ noted by many observers, and emphasized by
Jackson and Moore. It has been described also in monkeys by Hart and
Lessing. This is an enlargement or swelling of the costochondral
junctions of the ribs, especially of the lower true ribs. It corresponds
clinically to the "beading" and the "rosary" so characteristic of
infantile rickets and mistakenly termed the "rhachitic rosary." As
pointed out, in discussing the symptomatology and pathology of human
scurvy, this sign must be regarded as truly scorbutic in animals as well
as in infants. The "rosary" is difficult to palpate in pigs which have
considerable subcutaneous tissue; in thin animals, however, its course
can be followed, the gradual development and subsequent disappearance.
In this connection the enlargement of the epiphyses must be mentioned,
another sign supposed to be characteristic of rickets in infants. Marked
swelling of the wrists is frequently encountered in guinea-pigs
suffering from scurvy--a bony enlargement involving the lower epiphyses
of the ulna and of the radius. This is met with far more commonly in
chronic scurvy than in the usual acute case. Where the disorder has
existed for a long period, these bony knobs may persist indefinitely,
constituting the sole residual sign of a former scorbutic condition.
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