Studies of the chemical exchanges in scurvy have been surprisingly few.
It is a field that should repay investigation, promising to afford a
clearer insight into the intermediary metabolism in this disorder. One
of the first to touch upon this question was Garrod, who in 1848
reported that there was a diminution of potassium salts in the urine and
in the blood of scurvy patients. In 1877 Ralfe confirmed the potassium
deficiency in the urine, but denied its importance from an etiologic
standpoint, as he was unable to benefit scurvy patients by administering
potassium nitrate. He reported an increase of uric acid in the urine, a
diminution of the total acidity, and a reduction of the alkaline
phosphates. Litten found the analyses of the urine very contradictory in
respect to potassium, but stated that beyond a doubt its uric acid
content is increased at the height of the disease, although this
diminishes rapidly with convalescence. These few and scattered articles
comprise the sum of metabolic studies up to the last decade, and even
during the succeeding period they have been very few--so few, indeed,
that they furnish insufficient data from which to draw conclusions.
The first careful study of the mineral metabolism in a case of scurvy is
that of Baumann and Howard, published in 1912. Its conclusions are not
very definite. They may be summed up by their statement that "chlorin
and sodium were retained during the fruit-juice period, but excreted in
excess of the intake during the preliminary period," and that "more
potassium, calcium and magnesium were retained during the fruit-juice
period."
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