ce of the face. Inside the mouth and throat a similar mottled
redness is seen. In the course of a day the eruption spreads over the
whole body. After continuing at their height for a day or two the
symptoms gradually decline, and in a little over a week the child may be
pronounced well. The skin then sheds all the superfluous cuticle left by
the eruption, and in three or four weeks after inception the normal
condition is again reached.

In the malignant form all the symptoms are of a severe type.
Occasionally catarrhal affections of the air passages, croup or
pulmonary inflammation supervene, and the patient succumbs.

Other concurrent forms of disease are whooping cough, diphtheria,
pulmonary consumption, inflammation of the eyes, ear disease, and
swelling of the glands.

Measles demand no distinctive treatment. The room must be well
ventilated, with a temperature of about 60 deg., and light must be almost
totally excluded. At night no lamp should be allowed.

_Treatment and diet_ should be the same as in scarlet fever.

GERMAN MEASLES.

German Measles (Rubella or Roetheln), is an eruptive form of children's
disease, much more harmless than the disturbances previously depicted.
It is one which occurs in epidemics, but to which children individually
are largely susceptible; the actual contagium thereof, however, is
likewise unknown to science.

Eight days generally intervene between the time of infection and the
breaking out of the rash.

During this period no acute symptom is noticeable. In the majority of
cases the fever that precedes the eruption is not high; headache, cold
and sorethroat accompany the appearances of the rash, which in this case
breaks out at once, and not after several days, as in the case of actual
measles. The spots are about the size of lentils, and are quite deep
red, appearing first upon the face.

After the rash has been out for one or two days, it gradually becomes
paler, the fever goes down, and recovery progresses rapidly, usually
without any after effects.

It is not necessary for the patient to remain in bed longer than three
or four days; nevertheless, the treatment should be just the same as
prescribed in the case of the real measles, so as not to leave any
weakness or subsequent complication.

There are many other forms of disease, besides these, which are likewise
accompanied by fever and a rash, which also appear in epidemics and are
evidently due to a great variety o