The capillary picture at the root of the nail, on the exposed patients by the mass medical examination at the 6 districts of Okayama prefecture in where the mass occurence of infectious hepatitis were seen, were observed. The results are as follows.
1. At the district with many severe hepatitis, the form of capillary picture is simlar to the typical feature in hospital cases, at the district with many mild hepatitis it is similar to the feature in health, except a little abnormality, and at the district with relatively many mild hepatitis it is similar to the finding between the feature in healthy and hospital cases.
2. The slight dilatation of the arteriovenous limb in width, the slight contraction of the capillary loop in width and the extension of the loop length in some, but not in some, are observed on the exposed patients in those districts. But these findings are considerably stirred by the situation of epidemic mass occurence and their symptoms.
3. The delay in the rate of blood flow, the formation of granules and the incomplete continuation and intermittence of blood flow etc. are generally observed, but there are considerable differences in each epidemic district. However, the findings at the district with severe hepatitis is similar to the typical feature.
4. As compared with it in health, the capillary reaction judged summarily from the above findings of the exposed cases on the mass medical examination are abnormal in most cases of each group, especially at the districts with typical or severe hepatitis.
5. The typical capillary reaction is not invariably observed on the mass medical examination, especially on the mild form, as well as the capillary picture of the hepatitis cases observed with the progress, but the capillary reaction is still a useful finding for the diagnosis of infections hepatitis.
6. The relation between the capillary reaction and the clinical findings, blood picture, urobilinoge reaction in urine, various serum colloidal reactions, hepatomegaly and splenomegary etc. is observed, but no correlation between them is necessarily found on the mass examination's cases because there may be involving various complicated factors in the stage, course and symptom of disease.
7. The capillary picture of the 50 exposed cases as the latent and incomplete mild ases, which can not be definitely diagnosed as infectious hepatitis, but which are in denger being exposed as same as the patient and have the complaints of indistinct gastroentero-, flue-symptoms, fatigue and general strange feeling etc. by which any diagnosis, other than hepatitis, can not be made, aend which show a typical picture on the hematological examination, are found on theit capillary picture. The cases with a definie abnormal capillary pictuere have the complaints of headache, general weariness and exhaustion etc, and 10 of them fall ill later on the occasion of overwork.
8. The theory of Prof. K. Yamaoka, which the general reaction as a primary change of infectious hepatitis is occured to center around the blood vesseles reaction, is supported with the above results. And the capillary picture also can be proved as a method to expose latent or incomplete mild caess of infectious hepatitis.
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