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INDICATIONS FOR THE REMOVAL OF THE SPLEEN IN INFANTS AND CHILDREN

FREDERIC H. BARTLETT, M.D.
Am J Dis Child. 1922;23(4):283-308. doi:10.1001/archpedi.1922.01910400003001.
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Hemolytic jaundice, Banti's disease, Gaucher's disease and von Jaksch's anemia, are four names given to pathologic processes for the relief or cure of which removal of the spleen may be the only treatment.

Hemolytic jaundice, in the yellowness of the skin and sclera, presents an outward and visible sign which gives obvious aid in the determination of a diagnosis.

Banti's disease and Gaucher's disease have no distinguishing symptoms and physical signs by which they can be identified clearly. It is impossible in the early stages, and difficult even in the later stages, to give a name to the pathologic process representing these diseases, and it is just in the early stage of Banti's or Gaucher's disease that splenectomy is of greatest value.

Von Jaksch's disease is at present sub judice, being regarded by some as not a distinct entity. Figures 1, 2 and 3 are the microphotographs of a spleen

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