"Malnutrition in Children" is the title given to this study of 144 children with multiple vitamin deficiencies. In the author's study, behavior changes as well as physical changes were noted. Physically the skin and mucous membranes showed marked changes, which the author shows by photomicrographs of biopsy specimens. The nutritional edema observed was a hypoproteinemia most accentuated in the first year. Analysis of the duodenal and gastric secretions showed that the gastric deficiency was a hypochlorhydria, as shown by histamine response. Changes were shown in the liver by function tests and puncture biopsy. Cardiac changes were shown by roentgenograms and electrocardiogram studies. Bone marrow studies were made, as well as peripheral blood studies.
There were 89 instances of scurvy, as shown by roentgenogram, but only two instances of rickets.
The treatment of these children should be, according to the author, proper diet, vitamins, antibiotics, accessory treatment for individual instances of