The practice of pediatrics . he mouth has been recorded. In thatcase the fungus was found in the stomach (Northrup). Symptomatology.—Preceding the development of the characteristiclesions of thrush the mucous membrane of the mouth is somewhatswollen, reddened, and dry, as in a catarrhal stomatitis the infantwill show the usual distress in feeding; and will be restless and fretful.After a day or two the characteristic minute white patches, slightlyraised above the surface, dry and adherent, appear, first upon thedorsum of the tongue, later on the mucous membrane of the lips andcheeks, the gums,
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The practice of pediatrics . he mouth has been recorded. In thatcase the fungus was found in the stomach (Northrup). Symptomatology.—Preceding the development of the characteristiclesions of thrush the mucous membrane of the mouth is somewhatswollen, reddened, and dry, as in a catarrhal stomatitis the infantwill show the usual distress in feeding; and will be restless and fretful.After a day or two the characteristic minute white patches, slightlyraised above the surface, dry and adherent, appear, first upon thedorsum of the tongue, later on the mucous membrane of the lips andcheeks, the gums, and the palate. As the patches become more numerousthey also increase in size and may fuse into one another until the wholemouth is coated with a whitish pellicle. In the course of a week thepatches assume a grayish or yellowish tint, become loosened from themucous membrane, and are gradually exfoliated, the underlying mem-brane being left red, dry, and with prominent papilhe. The affection PLATE IV. Fig IT Fig. 1 Fig. HI. Fig IV Fig. I. Thrush. II. Ulcerative Stomatitis. III. Aphthous Stomatitis. IV Aphthous Stomatitis (late stage).* V. Geographical Tongue (Eczema of the Tongue.) DISEASES OF THE MOUTH AND PHARYNX 183 then terminates by a gradual return of the membrane to a normalappearance or there is a new evolution of the plaques and a continuationof the disease. During the height of the disease there may be occasionalvomiting, loose yellow or greenish stools, and considerable pain, restless-ness, and irritability. The temperature may be slightly raised, but isgenerally normal. As commonly seen the patches are not very numerous, they remain discrete, and the constitutional disturbance is slight. Thereaction of the mouth is regularly acid during the course of theaffection. Occurring as a complication of preceding diarrheal disease, or inathreptic children the affection not infrequently assumes a grave type.The mouth becomes coated with the whitish deposit, which may extendi