wee te . a : wee ws Four days after the fallout, both ears and the occipital region began to itch. Because of this he cut his hair to a short length and found these areas covered with vesicles. The occipital area showed epilation later. On the first day following the fallout he complained of a headache... He had no appetite and occasionally felt nauseated. On March 4 he vomited one time. made him feel better and by March 10 he states he felt well. of the scalp increased in size. The epilated area On March 15 he noticed pain in his finger joints and over these joints there was a black brown pigmentation. showed a localized warmth. Thi- The hands and fingers He remembers no diarrhea, no fever, no petechia and no purpura. On physical examination there was seen a young well developed mscled Japanese man. On both ears, on the posterior aspect of the neck, on the occipital area and on the entire hands there were small vesicles and small areas of erythema and desquamazion. The scalp was epilated on the occipital region. inguinal nodes were enlarged bilaterally. nodes. None of the nodes were tender. mation or yellow discharge, The eyes were clear and showed no inflam The oropharynx showed no ulcerations or evidence The heart and lungs were clear. no organs or masses palpable. Laboratory Work: There were several right supraclavicular The fundi were abnormal in that the arteries showed marked perivascular sheathing. of gingival bleeding. The axillary and In the abdomen there were There was no tenderness.s See Appendix (T-21) This 30-year old Japanese fisherman was on the deck when he saw a flash in a westerly direction. This flash was followed by a loud report. vther members of the crew working on the deck. and while tie He went below to the crew's quarter egan to fall on the ship. US DOE ARCHIVES He bezan to help After resting for two hours he