The times and democrat. [volume] (Orangeburg, S.C.) 1881-current, 1910-11-05
HARD. R TO D SOLVE !:
Ii Il ;.;. K. ...:s g.
Dr.. C. a. Lavinder Talks Interestingly 0
y PeIlagsa.:
NO SPECIFIC REMEDY
DR.. Lavinder Less Devout in His Be-
lief About Spoiled Corn Causing
the Disease--United State Govern
ment Expert Holds Clinic for
{: Physicians Of State at Asylum.

=. :. =
The State says while the pelagra
clinic Thursday at the State Hospi-
tai for the Insane at Columbia was
not so we'll attended as the pre-
yious one, it was no less Interesting
and In all about twenty cases of the
disease were demonstrated. The
meeting was very informal, resolving
itself largely into matter Of. ques-
tions and answers and the exchange
of individual opinions and eXperien-
ences.
|. In reply to the question Of IT,:
causation of pell2gra Dr.. c. H. La
yluder said that he was op al-'ninded
on the subject and certaluly less de-
vout in his belief In the spoiled corn
theory that he was. year ago. He
thought the diagnosis Of pellagra dlI-
ficult without the skin symptoms.
IN other words, that the presence
or history of skin symptoms was es-
sential for the diagnosis: The Ital-
ians, however, made the diagonis
regardless Of the presence or abb
sence of the skin LESSONS. 1t hai
been well said that until the skin
symptoms appeared, the case was like
Ian unsigned letter. rhe skin symp-
toms were the signature by which
the, letter was identified. OF course,
tentative diagnosis can be made aud
treatment instituted.
The disease in Italy was very mild
DR.. Lavinder sam there in two OF
three months several hundred cases
of which only three or four could be
considered really Ill.
In Italy the geography Of the dis
ease is shifting and appears to be
spreading southwark. DR.. La
vinder considered a generous die
ta7y, careful attention and goo5
nursing highly important as we have
no specific remedies.
The speaker again deprecated the
gloomy outlook usually taken by th=
public regarding pellagra.4 He does
not entertain the opinion that pei.
lagra is communicab He wouia
not hesitate to bring pellagrous
patient in his own house.
He also thought that the genera
practitioners of South Carolina have
a great opportunity for studying tnt
epidemio.ogy of the c:sease; that is
to collect data regarding the homo
surrounding Of patients, their diet'
ary ind habits.
Such data would prove OF grea
value in helping to solve: the mys,
terry surrounding pellagra. Sambor
thinks the disease occurs In the foot.
hills, near sWift-runnlng streams, &C
cording to the speaker.
Or. J. j. Watsan stated he hat
seen cases from all paris Of The State
from the mountains to the sea, bu
most Of them came from the Pied
mont section.
In Italy, the speaker said, the dis
ease was largely confined to the peas
entry living in tie country, but II
this country pellagra patients were
mostly urban and suburban and from
those in the best circumstances ply
sically, financially and socially. Hi
patients had for the most pa,> eater
shipped corn. AS alreaSJ 1cled wit.
us the disease differed from the Il
allan In intensity. Over 80 per cent
tof his ctses we're women.
The disease was further discuss
ed In many of its phases by Dr.. Ma
pier Thompson, j. H. Taylor, Duck
EFT Rice, E. B. Sanders, R. l.. San
ders and others.