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PHYSICIANS' FEES

1878 The Lancet  
458 tudinally, in more serious cases scorbutic symptoms manifested themselves. The glossal epithelium desquamated in patches, leaving the denuded surfaces of a red colour, and the fungiform papillse about the apex became enlarged and prominent. The gums were swollen, and difficulty in mastication was complained of. Catarrh occasionally coexisted, and arose from the unavoidable exposure incidental to camp life. The health of the patients rapidly improved, and no more cases of a scorbutic nature
more » ... a scorbutic nature occurred after the addition of meat and vegetables to the previous ration. I have observed cases presenting precisely similar appearances to those described by Dr. Hunter in the Andamans, and in Brahmin sepoys suffering from malarial cachexia, who limit themselves strictly to an exclusive grain diet. In conclusion, Sir, I question the utility of applying a novel and what may be considered an inaccurate term (hypersemia and not erythema existing) to what is but a prominent local symptom of a constitutional dyscrasia. I remain. Sir. vour obedient servant.
doi:10.1016/s0140-6736(02)43583-0 fatcat:ge2dewzphvazvi2em3edxytaru