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1970;46;802Pediatrics

T. E. C., Jr.HOW HENOCH TREATED CHILDREN WITH ENCOPRESIS

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ISSN: 0031-4005. Online ISSN: 1098-4275.

PrintIllinois, 60007. Copyright © 1970 by the American Academy of Pediatrics. All rights reserved.by the American Academy of Pediatrics, 141 Northwest Point Boulevard, Elk Grove Village,it has been published continuously since 1948. PEDIATRICS is owned, published, and trademarkedPEDIATRICS is the official journal of the American Academy of Pediatrics. A monthly publication,

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80 2 PER IANAL C ELLU LIT IS

M rs. E the l Y oung w ho perfo rm ed the b acte rio logy

fo r th is stu dy .

REFERENCES

1 . Am ren , D . P ., A nderson , A . S ., and W anna-

m aker, L . W . : P eria na l ce llu l itis a sso ciated

w ith gro up A strep tococc i. Am er. J. Dis .

Child ., 1 12 :546 , 196 6 .

2 . M axted , W . R . : U se of b acit rac in for iden tify in g

group A haem o ly tic s trep to cocci. J . C lin .

Path ., 6 :2 24 , 1953 .

3 . M cK ee , \V . M ., D i C apn io , J . M ., R oberts, C . E .,

J r ., and Sh erris , J. C . : A na l ca rr iage as the

p robab le source of a s trep tococcal ep id em ic .

Lance t , II: 10 07 , 1 966 .

4 . M cIn ty re , D . M . : A n ep idem ic of s trep tococcus

pyog ene s pu erp era l a nd po sto perativ e sep sis

w ith an unusua l ca rr ie r s ite -the anu s. Am er .

J. O bstet. C ynec., 10 1 :308 , 1 968 .

5 . S ch affn er, W ., L efkow itz , L . B ., G oodm an , J. S. ,

and K oen ig , M . C . : H osp ita l ou tb reak o f in -

fect ions w ith g roup A strep to co cci traced to

an asym p tom atic ana l ca rrie r. N ew Eng . J.

Med., 280:1224, 1969.

HOW HENOCH TREATED CH ILDREN W ITH ENCOPRES IS

Edw ard H ein n ich H eno ch ( 1820-1910) is

usu ally rem em bered fo r h is d esc rip tion of pun-

pura bu t h is con tr ib u tio n to p ed ia tric s g oes far

beyond th e fo rm of purpuna w hich bears h is

nam e. A s the D irec to r o f the D epartm en t fo r

C hild ren ’s D isease s in the R oy al C h an it#{233 }H o sp i-

ta l, B erlin from 1872 to 1893 he , m ore than

a ny o ne e lse , in itia ted the m odern co ncep t o f

pediatrics.’

F rom his superb tex tboo k en titled , Lec tu res

on C h ild ren ’s D iseases, the fo llow ing descn ip -

tion of how eas ily H enoch trea ted encopres is

m ay surp rise the co n tem pora ry phys ician faced

w ith th is vex in g sym ptom :

In O ctob er 18 79 , a boy of 8 y ears w as b rou gh t

to the p o lyc lin ic w ho , fo r the las t 2 y ears , h ad

no t been ab le to re ta in h is faeces . . . . H e dirtied

h is clo th es seve ral tim es a d ay , bu t n eve r du ring

the n ig h t tim e . M ic tu rition norm al. C en era l

hea lth perfec tly good . O n exam ina tion of the

rec tum we foun d no ab norm a lity , an d the sph inc-

te n an i con trac ted firm ly . A fte r nux vom ica had

been used w ithou t any effec t e rg o tin (g r. lii)

w as in jected subcu taneous ly near the anus , an d

the very firs t in jection w as com ple te ly su ccessfu l.

Three day s af ter de faec ation w as stil l n orm al. I

to ld the m other th at if the in co n tin ence re tu rned ,

she m u st br ing h im b ack a t once-and I n eve r

saw h im aga in .

Five o ther cases had an en tire ly s im ila r

cou rse and wer e cured in the sam e w ay , a l-

th ou gh only af ter the seco nd in je ctio n , in

w h ich , how ev er, w e trie d the ex pe rim ent o f

using on ly d istilled w ate r.

A few sm art s tro kes on the na tes imm edi-

ately afte r th e in jec tion , con sid erab ly en-

hanced the effec t o f th e trea tm en t.2

NOTED By T . E . C ., Jn. , M.D .

R EF ER ENC E S

1 . G arrison and M orton’s, b y M orton , L . T . : M cd i-

cal B ib l iog rap hy: A n A nno tated C heck-L is t

of Texts Illu stra ting the H is to ry of M edic in e ,ed . 2 (rev ised ). L o ndon : A ndre D eu tsch , p .

554 , 1965 .

2 . H enoch , E .: L ectu res o n C hild ren’s D iseases: A

Handbook for P rac titioners and S tuden ts

(T rans la ted from the F ourth G erm an ed ition

by Jo hn Thom son ). L ondon : N ew Sydenham

Soc ie ty , vo l. 2 , pp . 180-1 81 , 18 89 .

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1970;46;802Pediatrics

T. E. C., Jr.HOW HENOCH TREATED CHILDREN WITH ENCOPRESIS

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Online ISSN: 1098-4275.Copyright © 1970 by the American Academy of Pediatrics. All rights reserved. Print ISSN: 0031-4005.American Academy of Pediatrics, 141 Northwest Point Boulevard, Elk Grove Village, Illinois, 60007.has been published continuously since 1948. PEDIATRICS is owned, published, and trademarked by thePEDIATRICS is the official journal of the American Academy of Pediatrics. A monthly publication, it

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