In view of the fact that many of the animals have taken very little food
for some days previous to their death, it will be well to describe
briefly the macroscopic picture of _simple starvation_ in guinea-pigs.
When guinea-pigs are given only water they live about one week; if
orange juice is added to this water diet they succumb a little later to
starvation. Under all these conditions the striking pathologic
change--absent in scurvy--is edema. It is true that the limbs may show
slight edema in scurvy, and that the pericardial and the pleural sacs,
and even the peritoneal cavity, occasionally contain a small quantity of
serum, but it is comparatively an insignificant amount. Moreover it is
difficult to decide to what extent this edema is due to scurvy, and to
what extent to starvation. In typical starvation, on the other hand,
such as occurs on the limited diets enumerated above, we find marked
subcutaneous edema, sometimes a true anasarca, and frequently also
ascites. We are reminded of the "war edema" and its frequent association
with starvation. Another distinction between the two conditions is the
fact that the marrow in starvation is yellow and not red as in scurvy.
In passing, it may be mentioned that the ascites was greater when orange
juice had been given than where the animal received only water.
In perusing the literature but one study has been noted on _the effect
of a scorbutic diet on the foetus_. This investigation was carried out
on a large series of guinea-pigs by Ingier (1915). The following
comprise her conclusions:
"1. Pronounced cases of Barlow's disease may be produced in the foetus
as early as ten to fifteen days after the commencement of dieting
pregnant guinea-pigs with oats and water. There are wide individual
variations. The scorbutic changes in the skeleton are greatest in the
earlier embryonic stages. The foetuses of that period, with
practically no exceptions, die and show marked traces of impeded growth.
"2. Foetuses from the later period of pregnancy are born alive, and
apparently fully developed, with comparatively slight changes in the
osseous system.
"3. Even a short extension of the period of extra-uterine dieting on
milk from scorbutic mothers, and later on oats and water, is sufficient
to change the latent scurvy into a highly-pronounced case.
"4. The foetus cannot be kept alive longer than the adult animal,
about twenty-eight days, either by intra-uterine dieting alone or by
combined intra- and extra-uterine dieting.
"5. The mothers show signs of the disease at an early period and are
more severely attacked than non-pregnant animals. Death also occurs
comparatively often in the first period of gestation."
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