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My object in this paper is to discuss a fact largely ignored in recent pediatric literature, namely, that the "true colic," 1 or vagogenic gastro-enterospasm of early infancy, is rather commonly complicated or followed by eczema of varying severity.My observations are based on forty-seven patients from private practice. Patients with these conditions are not, and should not, be admitted to a children's hospital.2 Even with regard to the newly born infants, hospital records, though accurate as to diarrhea and vomiting, rarely contain any note of the patient's fretfulness or of his painful reaction to feeding.For the purposes of this study, the patients are classified as follows : those with the gastro-enterospastic syndrome alone (table 1), those with eczema alone (table 2), and those with both conditions (table 3). Of the forty-seven, twenty-nine were boys and eighteen were girls.Of the ten patients with "colic only," one was exclusively breast fed for six months or longer ; five were breast fed, with complementary modifications of cow's milk; and four were artificially fed exclusively. In the seven patients in whom atropine was used successfully, its administration was required for an average period of five months. The two patients responding poorly to atropine did well on thick cereal feeding, one requiring it for eight months, the other for ten. This type of food apparently has much more than the mere mechanical effect of checking the vomiting of infants with gastrospasm.
My object in this paper is to discuss a fact largely ignored in recent pediatric literature, namely, that the "true colic," 1 or vagogenic gastro-enterospasm of early infancy, is rather commonly complicated or followed by eczema of varying severity.My observations are based on forty-seven patients from private practice. Patients with these conditions are not, and should not, be admitted to a children's hospital.2 Even with regard to the newly born infants, hospital records, though accurate as to diarrhea and vomiting, rarely contain any note of the patient's fretfulness or of his painful reaction to feeding.For the purposes of this study, the patients are classified as follows : those with the gastro-enterospastic syndrome alone (table 1), those with eczema alone (table 2), and those with both conditions (table 3). Of the forty-seven, twenty-nine were boys and eighteen were girls.Of the ten patients with "colic only," one was exclusively breast fed for six months or longer ; five were breast fed, with complementary modifications of cow's milk; and four were artificially fed exclusively. In the seven patients in whom atropine was used successfully, its administration was required for an average period of five months. The two patients responding poorly to atropine did well on thick cereal feeding, one requiring it for eight months, the other for ten. This type of food apparently has much more than the mere mechanical effect of checking the vomiting of infants with gastrospasm.
Eczema is a term frequently applied to totally unrelated dermatoses of infancy and childhood. The confusion which exists as to the pathogenesis of this condition in the age groups mentioned was clearly demonstrated at the pediatric congress held in Germany in 1929. While certain phases of eczemas in adults were admitted to have many points in common with those of later childhood, it was thought that the eczemas of infancy and early childhood composed a group apart.It seemed to us that part of this confusion was due to the inclusion of unrelated dermatoses in this group of eczemas, and it seems logical that first a clear conception of eczema from the clinical standpoint should be obtained. A step forward is the separation from eczema of dermatoses such as seborrheic dermatitis and intertrigo which are usually, but erroneously, included under this term.The seborrheic dermatosis of Unna is seldom found in infancy; it develops in later childhood. The characteristic lesion of this disease is an erythematous spot which is covered with greasy, yellow scales. The confluence of such spots results in irregular areas of various sizes, often polycyclic. The borders are sharply demarcated and raised above the surface, and often show yellowish crusts and scales. There is sometimes a tendency toward central healing. The rubbing of the crusts between the fingers demonstrates their fatty consistency. In contrast to eczema, there is an absence of vesicles and there is no itching. The points of predilection are the forehead, face, lobes of the ears, sternum, interscapular region and axillae.It is held by most authorities that this condition is due to an infec¬ tion with a parasite, and that it should not be confused with eczema. Even though it has been shown that fungi can cause eczema of the skin (Peck,1 Sulzberger and Lewis2 and Peck and Salomon3), we believe From the Pediatric Service of Dr. B\l=e'\la Schick and the laboratories of the Mount Sinai Hospital.1. Peck, S. M.:
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