The Waterbury Democrat., 1943-10-19
pr0ruRR on PEE.LAoRA

street, Chicago. III.
PICTURE or PELLA0RA ~
Probably there are ten cases q
mild peilagra, pellagrA perhaps
without the typical skin signs, pei
lagra that goes unrecognized ,CE
Is called ''neurasthenia," stomach
trouble" and the like, for every
case Of full fiedged pellagra that a
recognized and properly treateds
Especially IN the northern part o.
the United States and IN Canada
where the disease does not prevail 30
much or advance 50 far lintreated rs
In some areas Of the southern states
where pellagra Is endemic. W
Endemic means simply peculiar to-
O district, and does not imply that
the disease Is communicable or iil-
fictitious. Goitre Is endemic In GER.
tain districts In the north, but ~Of
course Is not communicable or in
fictitious.
The picture Of full fiedged pella-
gra Is composed Of characteristic
manifestations In skin and mucous
membranes. digestive tract and
nervous system. tt
Exposed tract Of the skin, eS-
pecially the backs Of the hands.
forearns and forehead, and often
around the neck like q collar on
necklace, show reddening, inflATi-
nation like sunburn, more or less,
fermentation, cracking sometimes
ulceration-the patient Is likely TO
attribute the skin LESSONS to un-
healed sunburn. ~
The mouth Is usually sore, pef.
haps cracked at the corners, and
the tongue Is very red, sometimes
swollen and sore, with excessive
flow Of saliva and drooling. wv
| Patient complains Of burning sem
satlon in stomach, and there 70
stomach acidity, perhaps vomiting,
often diarrhea.
The patient feels weak, tired,
lacks ambition, Is accused Of being
shiftless and 1o.account. 1rritab-'
ility, anxiety, vague fears or pho
bias, queer or irrational behavior
are among the earlier signs Of de-
terioration in the nervous SYSTEM
II the condition still goes undiag-
nosed the patient eventually be-
comes delirious or maniacaL
Pellagra, whether only mild ana
minus the typical skin manifesta-
tions, or full fiedged, Is primarily
due TO prolonged or constant lack
Of niacin (nicotic acld) In the diet,
but In every case there are assoc
ciated shortages OF other vitamins
Of the B complex group, especially
ribofiavin (vitamin BIZ or O., 50
that the prevention as well as the
treatment or cure must always in
sure an optlmal daily ration Of
vitamin B complex-which means
several times as much as may be
required normally TO maintain good
health. The minimum daily re-
quirement Of niacin TO maintain
good health has not been precisely
determined but Is probably 10 milli-
grams, as much as one gets In o
capule OF vitamin 3 complex or
In three or four heaping tablespoon.
fuls Of brewers yeast powder. q
quart Of milk or o pound OF lean
meat. 80
u-A
QUESTION ana ANSWERS
indispensable In the Baby Business
Have had four babies and raised
three OF them on the Brady Bahy
Book, but I'm In serious predtca.
ment now, as my fourth baby "a 3
weeks old and ! can't locate my
Brady Baby Book. (Mrs. 8. M
Answer-Did you search your
handbag carefully? Send ten cents
and O three cent-stamped envelope
bearing your address, for This
Brady Baby Book" -
Terpln Hydrate ~
Mother, u, has had sinus trouble
for several years, operation ten
years ago gave no relief. Since
Christmas she has had two ATTACKS
Of bronchitis, but being allergic 70
codeine, opium, morphine, heroin
and the like there Is no mediciYle
she can take. (R. Wa
Angwer-There Is no reason why
any such medicine should be taken
by your mother. It never helps
matters to suppress coughing tenn
porarily-may indeed cause harm.
II your druggist will prepare, say,
thirty two-grain capsules Of terpin
hydrate, she may get relief by TAX
ing one such capsule after food three
times a day for o week or ten days.
Copyright 1913, John F. Ollie Coz