Manual for nutrition surveys / Interdepartmental Committee on Nutrition for National Defense.
- United States. Interdepartmental Committee on Nutrition for National Defense
- Date:
- 1957
Licence: Public Domain Mark
Credit: Manual for nutrition surveys / Interdepartmental Committee on Nutrition for National Defense. Source: Wellcome Collection.
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![TEETH 67 37 Unfilled cartes—Use grading on punch card. 68 38 Filled caries—Use grading on punch card. 69 39 Hdentulous——Absence of all natural teeth from one or both jaws. 70 40 Worn—Abnormal flattening of biting surface of teeth. 71 40 Fluworosis—Mottled white or brown areas with horizontal ridging. 40 Malposition Sufficient to interfere with the bite. SKIN—GENERAL ”) 12 41 Follicular keratosis—This lesion has been likened to “goose flesh which is seen on chilling, but it is not generalized and does not disappear with brisk rubbing of the skin. Follicular keratosis is more readily detected by the sense of touch than by the eye. The skin is rough, with papillae formed by keratotie plugs which project from the hair follicles. The surrounding skin is dry and lacks the usual amount of moisture or oiliness. Differentiation from adolescent folliculosis can usually be made through recogni- tion of the normal skin between the follicles in the adolescent disorder. It is distinguished from perifolliculosis of ascorbic acid deficiency by the ring of capillary congestion which occurs about each follicle in scorbutie perifolliculosis. 73 42-43 Areas of follicular keratosis—Do not mark box in margin unless multiple areas are involved. 74 44 = Pervfolliculosis—Congestion around the follicles which do not blanch upon pressure. (See above.) Early there is a ring of capillary engorgement which does not disappear on pressure, around some hair follicles. It is, therefore, limited to the hairy regions of the body, more frequently to the dependent parts such as the legs. Later, swelling and hypertrophy of the follicles occur, at which time the skin becomes rough. Follicular keratos's and perifolliculosis may co-exist. 75 44. Xerosis—Xerosis is a clinical term used to describe a dry and ermkled skin which is accentuated by pushing the skin parallel to its surface. In more advanced cases, the often mottled pig- mented scaly or alligator-like pseudo plaques, usually not greater than 0.5 cm. in diameter become evident. Their nutritional significance is quite controversial. Differential diagnosis must be made from changes due to dirt and exposure and ichthyosis. 76 44. Crackled skin icthyosis—The scales here are larger in size than in xerosis. It is often congenital and is most prominent in coo] weather. It is nonnutritional. de 45 Acneform erwption—The presence of acneform lesions in an active stage should be recorded. Inactive scars should not be recorded as an acneform eruption. 78 45 Scrotal dermatites—The scrotum usually must be rotated to see the lesions. Differentiate from fungus infections which usually extend onto the skin adjacent to the scrotum. 79 45 Symmetrical, thickened, pigmented pressure points—Look espe- cially at belt area, ischial tuberosities, sacrum and over greater trochanters. Do not record when found only on elbows and knees. 80 46 Purpura or petechia. 81 46 Hyperpigmentation and acrocyanosis—Is asymptomatic with no inflammatory component. It is seen most frequently on the dorsum of the hands and lower forearms, particularly where there is poor skin hygiene. The skin is rough, dry, and often with a gravish cyanotic base. There is not the sharp line of demarcation at the border of the lesion such as one sees in pellagra. This condition is not related to pellagra.](https://iiif.wellcomecollection.org/image/b32172783_0040.jp2/full/800%2C/0/default.jpg)
