CASE OF PERNICIOUS ANEMIA IN A BOY OF EIGHT YEARS

JOHN LOVETT MORSE
1917 Archives of Pediatrics & Adolescent Medicine  
History.\p=m-\MartinA. was born in August, 1908, in a small settlement in the woods of northeastern Maine and had always lived there. His parents were healthy. Four other children were alive and well; two had died in infancy of indigestion. There had been no miscarriages. Martin was born at full term, after a normal labor. He was nursed for eighteen months and then given a general diet. He had measles when he was a year old and whooping cough when he was 4 years old. Otherwise he had always
more » ... e he had always been well. When he was 5 years old, he began to complain of being tired. He did not look well and became very pale, the skin taking on a yellowish tinge. He did not feel well enough to go to school, but was not confined to bed. He improved somewhat after six months, but soon relapsed. Since then his general condition had, on the whole, deteriorated. He was treated for a short time in the Eastern Maine General Hospital, at Bangor, when 6% years old. The examination of his blood made there at that time was as follows : Hemoglobin (Dare). 28 per cent. Red blood corpuscles. 1,600,000 White blood corpuscles . 8,000 Both fresh and stained smears of the blood showed great variation in the size, shape and color of the red cells. About one-half of the cells were in the form of rings. They were somewhat stippled, but very few nucleated red cells were seen. A differential count showed: Per Cent. Small lymphocytes. 35.0 Large lymphocytes . 4.0 Large mononuclears . 3.66 The stool at that time was formed and light-brown in color. It showed no fermentation and no microscopic blood, but contained several large food par¬ ticles. No ova or parasites were seen. The Wassermann test made there was negative.
doi:10.1001/archpedi.1917.01910100070007 fatcat:f2ssz2rkvjh2lccqnon63urqqe