Gangrenous Stomatitis, common to children during the shedding of the temporary teeth, is indicated by a thick swelling of the face; skin tense and shining; swelling becoming hard and circumscribed, but devoid of tenderness, with a central spot, red and variegated in appearance; the formation of an ulcer, corresponding to the red spot outside, on the inside of the cheek ; profuse salivation, the ulcerated part becoming gangrenous, with an opening through the cheek; absence of pain and destruction of parts.


Preventive: Pure air, cleanliness, nourishing diet, sulphate of quinine, internally, in doses of gr. ij to iij ; and as a lotion, sulphate of zinc, Treatment 343 to the ounce of water. When the disease is established, the local use of escharotics - as acetic, sulphuric, nitric, hydrochloric acids, nitrate of silver, acid nitrate of mercury, or chloride of antimony - each applied by means of a camel-hair brush to gangrenous part, and at once followed by the application of dry chloride of lime. The mouth to be washed out with tepid water, by means of a syringe. After the separation of the slough, the dry chloride of lime alone may be used. The muriated tincture of iron is also employed ; and after the gangrene is arrested, astringent and antiseptic lotions are efficacious.


In early life the characteristics are most apparent. Tendency to enlargement of lymphatic glands; proclivity to certain forms of skin eruption; to disease of the joints and bones; the efforts necessary for growth and development overtax the defective vital powers; defective quality of the blood and tissues, and especially of the vascular tissue; injuries, such as sprains, end in chronic disease of the joint. A scrofulous child may grow finely for several years, and then, without adequate cause, be overtaken by meningitis or disease of vertebrae; inflammations are prone to take on chronic form.


Pure air of country, cod-liver oil and malt, iron and hypophosphites to increase the quantitv of nutritious constituents of the blood.