The daily telegram. [volume] (Clarksburg, W. Va.) 1901-1926, 1912-01-01
Mrs. Huttoa Hostes.
40 .Be lIostess
DR.zSL0AN !
Continued from page one.9


Continued from page one.)
NECK, coated tongue with prominent
papillae on top and edges and al
fine bright red eruption appearing
within twenty-four hours, first on
the body, being most marked in the
groin and axilla, and spreading rap
idly to the extremities and the face,
so that, on the second day, the jerup-
ton is at its height.
The eruption on the face iss1sual-
" confined to the Eeheeks. which are
flpahed ana in. marked contrast 70
the skin qfgthe forehead nd5aBopt
the mouth.
The eruption disappears in from
two to seven days, according to the
severity of the dlseaseaand as the
eruption fades ltAe temperature
falls, the throat symptoms improve,
the coating bsgfHdto disappear from.
the tongue, leayiHg II red with
prominent papillae, ma
The distinctive feature of the sore
throat is the presence of small red
dots over the palate.
1nsfrom a @eek-to ten days. more
or less discrimination. or scaling,
occurs and, continues for tIrse or
four weeks.
DO all cases present this picture?
Not by any means, for the childsmay
not vomit, the eruption may betSery
slight and fade in few days, or en-
tirely escape notice. The throat
may not be complained lof, and7a
pear only slightly REDEEMED, and the
desquamation be soNlittle that 1t
may not be noticsd, especially If
baths and ointments are employed.
In this case, the following symp-
toms were present: The child be-
came i'll on Tuesday morning, De
cember Is, with vomiting, fever.
sore throat, and about noon. an egup-
ton appeared on the body, which on
Wednesday involved the extremfties
also. gssr :,
Il Il saw the child on Wednesday
evening about . o'clock, this. being
the second day since the appearance
lof the eruption, when the cheeks of
the child were bright red, in con-
tTast' to the paleness of the skin
about the forehead and about the
mouth, and a fine red eruption ex-
listed over the body and extremities.
tbeing most marked in the groin and
ax.Ila, and on the back and extrem-
tiles and having the characteristics
Iof the eruption of scarlet fever.
The throat was quite sore with
lsome exudate on the tonsils and
fine red spots on the palate. The
tcervlcle lymph glands were enlarged
and the tongue coated with promt-
nent papillae, on the tips Of the
edges.s The pulse was rapid and the
Temperature 1a2 degrees.
On examination the next day. the
third of the disease, the eruption
was found to be fading and most of
the symptoms less marked. ON Fri
day, the fourth days since the ,erup-
ton, the body. vas comparatively
free save In the groins andsaxilla.
but was quite visible on the extfen-
tiles. .e.sts
The throat was much better but
the cervical lymph glands were still
enlarged, while the coating on the
tongue was beginning to recede from
the tips. leaving the exposed portion
red with prominent papillae. The
Temperature was about normal and
the child much better.
Were the symptoms in this case
sufficiently characteristic to warrant
the diagnosis OF scarlet fever and;
the rigid enforcement of the laws
governing such casss?
That IS Of some, interest to the
public, especially since the patient
was in the nome Of minister; d