=The Pathology.=--The pathology of guinea-pig scurvy is essentially that
of human scurvy. Hemorrhages and separations of the epiphyses or
fractures of the long bones dominate the macroscopic picture. The
hemorrhages are found rarely in the gums, but are common about the
joints, in the muscles of the jaw or in those of the hind legs. They may
be subcutaneous and appear as bluish discolorations at various parts of
the body, especially if the disorder has resulted in death or if
infection has been superadded. On stripping the skin we often note
hemorrhages in the intercostal muscles, and beading of the ribs at the
site of the costochondral junctions, least marked in the upper and in
the floating ribs. This has been frequently described in connection with
guinea-pig scurvy; its similarity to the rosary of human rickets has
been drawn attention to recently by Jackson and Moore. It should not be
regarded as "pseudo-rhachitic," but as typically scorbutic, from a
microscopic as well as a macroscopic viewpoint. On closer examination a
yellowish-white transverse line may be seen at the epiphyseal junction
of the ribs, and frequently some subperiosteal hemorrhage. Beading of
this character has been reported by Ingier also in the "snuffles" of
hogs and as the result of trauma. A similar enlargement of the chondral
junctions of the sternum may be found on examining its posterior
surface.
_The joints_ of the body always show some changes. The epiphyses are
enlarged to a variable degree, resembling the epiphyses typical of human
rickets. As in infants, this change is met with most commonly at the
wrist joint, involving the ulna and the radius. The knee-joint is
likewise often involved, especially the ends of the tibia; the elbow,
ankle, and the shoulder may also show an articular swelling of the
bones. About these joints hemorrhages in the subcutaneous tissues may be
seen, or edema extending along the extremities. Not infrequently a
fracture of one of the long bones is found, which may or may not have
been diagnosed during life. The common site of fracture is the lower
part of the tibia or fibula. Much more frequent than fractures are
separations of the epiphyses, which long since have been recognized as
typical of infantile scurvy. Even gentle handling in the course of
performing the necropsy may occasion a lesion of this kind--of the tibia
at the knee, of the radius or ulna at the wrist, or indeed at any of the
epiphyseal junctions. The infracted ends occasionally may be seen held
insecurely by a delicate band of periosteum. The shafts of the bones are
brittle, rarefied, and easily broken.
On opening _the chest_, slight hemorrhages may be noted in the
pericardium and in the visceral and costal pleuræ. The heart is
frequently enlarged, and the pericardial sac contains an excess of
serum; the right ventricle, however, is not found disproportionately
hypertrophied. Pneumonia is met with very frequently and constitutes a
common terminal infection.
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