Remarks ON RECENT ADVANCES IN THE TREATMENT OF SPRUE: CALCIUM AND PARATHYROID
Authors: H. H. Scott
Journal: BMJ (1924)

employment of calcium lactate and paratliyroid sprue.In a subsequent paper, published in October, 1923,2 five cases of sprue treated by this method were and, in the following December, a discussion sprue and treatment took place at a meeting of the Tropical Section of the Royal Society of Medicine.contributed by the present writer, whlicil was thle discussion, was reported in full in the BRITISH JOURNAL,3 and, as a result of the publicity thus given theory therein detailed, this method hlas been bv medical men in this country and in other world, and the results whichhave been recorded as to warrant a further communication A series of cases is described in the present varying from those of mild character and recent of great severity and long standing.For purposes parison of tthe results obtained by this and other treatment selection has been made from amongst whom I have fairly full notes, who are of nearly who show approximately the same degree of whom the disease has existed for the same length Appended is a table giving a few particulars of have been reported in sufficient detail to provide the tion under the different headings. CASSThis was an ordinary case, and the patient had the lines previously recognized.H. W. B., patient's foreign service had been as follows: China;East Indies; 1908-10 the Mediterranean.During had no illness.From 1916 to 1918 he was suffered from malaria and sandfly fever.From le was again in China.Briefly the history of that in August, 1921, he began to pass loose, stools of a light straw colour; his tongue became tender, with small ulcers occasionally, particularly his illness his weight was 157 lb.The symptoms very little intermission until November, admitted to hospital, having lost 20 lb. in weight.by the usual dietetic and regiminal measures.and given milk only in increasing amounts.allowed for five weeks, after which time sago pudding, eggs (one at first, later two daily), a rusk.The following was his day's nutriment thirteen weeks: 6 a.m., milk 1 pint; 8 a.m., egg, 1 rusk; 10 a.m., milk J pint; 12 noon, milk I pint, liver soup, sago 3 oz.; 4 p.m., milk I pint flavoured with rusk; 7 p.m., milk 1 pint, liver soup, arrowroot; J pint.Total 5 pints of milk.While on this diet suffered relapse, for which, the physician stated, no explanation found."A sample of his blood was taken and estimation was 9.5 mg. per cent. (the normal 11.5).He had to go through the mill again, and gh to leave hospital on April 16th, after twenty-three weeks, five days.His weight theni was lb., 10 lb. on what it was on admission, but still stated was his normal.It is clear from a consideration o hlis sYml)toms this as a comparatively mild case.Thiere no RecoveryMuch iiproved Improved Remarks.Too early for certainty; keeping well two montlis later.Still well six months later.Parathyroid stopped after three weeks (? reason); relapse over two miiontlhs later.Keeping well two mionths later.Keeping well two months later.Still quite well sixteen months later.Keeping well three months later; continuied to take parathyroid after symptoms cleared; " afraid to leave off."Left well nine months ago; no news since.Well seventeen months later.Keepiig well three months later.Still quite well twelve months later.Quite well twelve months later.See text, Case (1), A1. S. Sprue symptoms cleared, died of pernicio,us anaemia.Keeping quite well seven months later.Returned to India; well seven mionths later.Left hospital in five and a half weeks; no news since.See Case (2), D. WV.Died from-l pernicious anaem-iia.Returned to