Asia

(Ceylon, India, China, Japan), Africa, and Australia, and presenting the features of a multiple neuritis. Bad food and defective hygienic conditions are predisposing causes; the true etiologic factor is probably a microorganism. Various types of the disease have been described, particularly an anasarcous form and an atrophic form. The main symptoms are anesthesia, paralysis, wasting of the muscles, edema, changes in the electric reactions, dyspnea, and palpitation. The mortality is variable; often it is very great. True beriberi has been met with in the seaport towns of the United States, introduced there by East Indian sailors, and an affection resembling it seems to occur among certain fishermen of New England. Bernard’s Granular Layer. The inner zone of the cells lining the acini of the pancreas. It is granular in appearance and stains but slightly with carmin. ch132.xhtml b 145