account of the sore eyes for the measles are also in them. We have active
cold symptoms like sneezing, running at the nose, snorting, snuffling,
hawking. The cough is terribly severe, annoying, making the lungs and
stomach very sore. The head feels as if it would split. The patient holds
his chest and "stomach" while coughing. Symptoms of acute bronchitis
develop. Sometimes there is much diarrhea. Pneumonia often develops
through carelessness. The fever reaches its height when the eruption is
fully developed. The eruption fades after it has been out for three or
four days, and then all the symptoms decrease, the fever lessens and
becomes normal by gradual morning remissions. Scaling begins when the
pinkish hue of the rash has disappeared and continues until the last
vestige of reddish spots has disappeared. As a rule it is completed in two
to four weeks after the first eruption has appeared. Sometimes the scaling
is difficult to see, but it is never absent in measles: It is best seen on
the front part of the chest, shoulders, and the inner surface of the
thighs. The temperature may reach 104 to 105-8/10 without complications.
This description gives a picture of a typical case. The eruption that
appears in the mucous membrane of the mouth appears three to four days
before the skin rash. It is accompanied by redness of the pharynx and of
the front and back pillars of the fauces. The soft palate is studded with
irregular shaped, rose colored spots or streaks and the hard palate
presents small whitish vesicles. They are also found on the colored mucous
membrane of the cheeks and on that opposite the gums of the upper and
lower teeth. The rash of measles is a characteristic eruption of rose
colored or purple colored papules (pimples). As a rule the whole face is
covered with the eruption and is swollen. Diphtheria may complicate
measles. Bronchitis and brancho-pneumonia also may occur, especially if
the patient is careless and takes cold. Diarrhea is frequently present.

[INFECTIOUS DISEASES 177]

Eyes.--Following severe cases fear of light, spasm of the orbicularis
muscle, inflammation of the lachrymal duct, conjunctivitis, ulceration of
the cornea and amaurosis (general blindness) may result. Hence the
necessity of careful attention to the eyes. Never read anything during the
attack of the measles. The ear may also become afflicted. There are other
complications, but these mentioned are the important ones.

Mortality in