The diagnostics and treatment of tropical diseasesStitt, E. R. (Edward Rhodes)
Science
The diagnostics and treatment of tropical diseases
Stitt, E. R. (Edward Rhodes)
Tropical medicine
The adrenals show hypertrophy on a vitamine-deficient diet and this
hypertrophy is associated with increase of the adrenalin content of
the glands. Oedema seems to be associated with adrenal hypertrophy.
McCarrison believes the oedema to be associated with increased
intracapillary pressure from the effect of adrenalin but others
dispute the explanation. The adrenalin content of the enlarged
adrenals varies; it is in excess with a diet rich in carbohydrates
and deficient in proteins and vitamines, but is below normal when the
diet is scurvy-producing. Butter, probably from its fat soluble A
content, seems to protect against oedema.
_Polyneuritis gallinarum._—The work of Eijkman in showing that
polyneuritis could be produced in fowls by feeding them on polished
rice and prevented when a diet of rice polishings was added to
the neuritis-producing rice opened the way for a vast amount of
experimental work. As regards the nature of the neuritis-preventing
substance in the rice polishings it was soon found that it had no
relation to the phosphorus content. Funk has isolated a substance he
calls _vitamine_, a pyramidine base precipitated by phosphotungstic
acid, which is present in rice polishings and seems to possess
extraordinary curative properties in polyneuritis gallinarum. Heart
muscle, egg yolk and yeast are rich in this anti-neuritis substance,
which is also present in lentils and barley.
_Various Vitamines._—The anti-neuritis vitamine is soluble in
water and alcohol and is comparatively thermostable (destroyed by
a temperature of 120°C. in two hours). It is affected by alkaline
reaction but is stable in acid solution. The water soluble B vitamine
does not seem to be destroyed by a temperature of 120°C. for two
hours, hence it may be different from the anti-neuritis one. The
antiscorbutic vitamines differ in being thermolabile, these factors
in certain foods being destroyed by a temperature of 60°C. Another
vitamine, fat soluble A, found particularly in butter, seed embryos
and leaves of plants, is a food essential. Its absence from a diet
causes xerophthalmia. Cod-liver oil and glandular organs of animals
contain it.
Schaumann considers malt as richer in the anti-neuritis vitamine
than any other article of diet, rice bran coming next. Many think
that vitamines have not as yet been separated but that they are
intimately combined with some mother substance in the food.
There is, in all probability, a large number of vitamines present
in various animal and vegetable foods, the deficiency of which in a
diet may lead to vague disorders or to well-recognized diseases,
such as scurvy, ship beriberi, beriberi or pellagra.
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