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Pigmentation occurs in all patients; is quite perceptible, and
varies with the complexion of the patient. One or two of the
children have rapidly developed erythema with but little pigmentation, but the lamps are not powerful enough to cause any risk of
burning.
Blood Counts. It was originally intended that every patient
should have a complete blood count before and after treatment,
but this has been impossible because of the number of patients
sent up for treatment by general practitioners. As a result of
this a larger number of patients has been treated than was contemplated, and there is a considerable waiting list; 72 full blood
counts have been made. Rather surprisingly, etiolated children
with pasty white complexions, who were described as " anaemic
clinically, have, on several occasions, been found to show a
normal blood count, so far as haemoglobin and red blood
corpuscles are concerned.
Tuberculous children show a high proportion of small mononuclear
cells, and most of our cases show a leueocytosis before
treatment. The number of counts is not large enough to allow
one to draw any general conclusions, but this is a state of affairs
which will be remedied as time goes on, and results accumulate.
The same remark applies to estimation of calcium in the blood.
Some 50 estimations have been made, but the process is intricate,
and requires very careful attention, and a much larger number
of estimations must be made before any reliable conclusions can
be drawn. In most cases, as an additional aid to estimating the
results of treatment, a photograph of the patient has been taken,
and every case is X-rayed before treatment.
The general results of the treatment have undoubtedly been
good. Cases of Tuberculosis of Bronchial Glands, and of pre-
Tuberculous diathesis show distinct improvement. The appetite
improves, apathy and listlessness disappear, the muscles tone up,
and changes difficult to describe, yet quite apparent, can be
observed in the skin and complexion. There is frequently a
noticeable change in the mental condition of the children. A
change is also apparent in their physique. This has been very
noticeable in one or two cases, and is partially attributable to the