The Catarrhal Chld
نویسنده
چکیده
The clinical picture of the catarrhal child is one which is unfortunately too well known to need minute description, although careful consideration of the disease process is an essential if thWere is to be any advance in our therapeutic efforts to relieve or cure the child of its symptoms. Up to date, therapy has been disjointed, haphazard and not too successful although it is agreed by many clinicians that the child may be lucky enough to grow out of the catarrhal state as puberty approaches. But many of these children carry their catarrhal condition with them all through life. No follow-up records, however, have been made of those children who apparently recover spontaneously and it is believed, based on very careful adult history taking, that there is a great tendency for them to return to their catarrhal state later in adult life, even after a period of apparent quiesence of upwards of fifteen years. Be that as it may, it does not alter the significant fact that the rational therapeutic approach to the catarrhal child is at present inadequate. Expectorants; with or without belladonna, sedative linctuses, tonsillectomy, adequate or excessive dosage of vitamins, change of air, open-air schools, courses of sulpha drugs, or of vaccines or desensitisation therapy, ultra violet light -thiese and many other treatments are used with no real relationship the one to the other. Or worse, no therapeutic effort at all.
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