Although at first thought _beriberi_ and scurvy would seem far apart
from a clinical point of view, they have some important features in
common. In both there is a tendency to a rapidity of the heart's action
and a marked lability of the pulse, to an enlargement of the cardiac
ventricles, to an involvement of the vagus, and to an exaggeration of
the deep reflexes. It is unnecessary to describe these signs and
symptoms in detail, as they have been fully considered under
symptomatology. It has been recorded from time to time that under
certain circumstances scurvy has developed in man where one should have
expected beriberi, and _vice versa_. Darling, who has had a large
experience in this field, writes: "A deficient dietary in a tropical
African negro mine laborer causes severe scurvy, in a Cape Colony
African mine laborer, mild scurvy, and in some African negroes a diet
that causes scurvy in one set of men causes neuritis in others."
Possibly some minor differences in the dietary can explain this
difference in reaction--for we do not know all the sources of the
water-soluble vitamine, but such an experience deserves to be cited as
it is not an isolated instance. It is all the more worthy of attention
because it harmonizes to a certain extent with the everyday experience
of animal investigation. As has been stated elsewhere, a diet of
decorticated grain will lead to scurvy in the guinea-pig, to
polyneuritis in the pigeon, and to a combination of these diseases in
the hog! Results of this kind show that there must be a relationship
between the etiologic factors of scurvy and of beriberi. It is unwise at
present to attempt to define the relationship more precisely. The
remarkable observation, first made by Fuerst, and since confirmed by
numerous investigators, that seeds and legumes are devoid of
antiscorbutic potency but acquire this power on sprouting, constitutes
another link in the evidence of their kinship. Funk has suggested that
the antiscorbutic vitamine can be formed from the "antineuritic"
vitamine, a theory which is very attractive but needs confirmation and
experimental proof. It is quite evident that this change does not
usually occur in animals, in view of the specificity of the vitamines
for their respective diseases--of the antiscorbutic for scurvy and the
water-soluble for beriberi.
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