These signs reached the pea¥ in about the 3rd-

4th week and subsided gradually.

These skin

lesions including epilation were observed on
parts uf the body not covered by clothing and
on the navel region where radivactive dusts

3. Haematological Observations
Leucocytes
Total number of leucocytes decreased gradually, showing minimum count at about 4-8 weeks
after the exposure. Five cases revealed a count

Histologically, these

of less than 2,000/mm/’, thirteen less than 3,000,

skins were similar to ordinary radiodermatitis.
Remarkable epilation was observed in 20 patients.
Two patients who did not wear hats at the time
of the accident revealed complete epilational

and five less than 4,000. In one case, the leucocyte

from neck were deposited.

necrosis.

Microscopically, coagulation necrosis

and cell infiltration in the necrotic scalp was
observed at about the 4th week. These skin
lesions iccovered gradually. Thin and delicate
hairs began to grow again at the beginning of
Mav, and in 2-3 months they grew back almost
completely. But, T-2 and T-7 have alopecia
even nuw.

In some persons, capillary dilatation,

depigmentation and pigmentation ofskin are still
observed in the navel region. For the skin
lesions cvery possible treatment was applied.
For decontamination, mechanical washings with
Na-EDT.\ or warm water were done. The hair
of head. axilla and pubes was shaved off. The
nails were cut off. In one and half months
superficial contamination was almost removed.
The distribution of surface radioactivity and
skin lesions is shown in Fig. 2.'”

Radoective Contamination

level depressed to 800. A correlation was found
between these minimum count and the doses of
individual external irradiation.
Neutrophil level also depressed. Between the
4+th-8th weeks all of the cases got minimum
values, which were proportional to the dose of
radiation received (Fig. 3),

In most cases a shift

to the left of the nucleus was observed.
Lymphopenia was noted between the 2nd-8th
weeks in all cases.
Leucocyte count began to increase since 8th
week, At,that time, metamyelocytes and myelocytes appeared in peripheral blood of some

cases.

In most cases eosinophilia and in some cases
monocytosis were

remarkable, especially

with

the indication of recovery. Eosinophilia continued in some cases for several years without
proof of parasite.
Neutrophil and lymphocyte levels recovered
gradually.
However, cumulative distribution
curve of total leucocyte count at the 6th year
was still slightly displaced to the left of normal
Japanese, and in several cases, number of lymphocytes was below 2,000/mm’.
Motility and phagocytosis of neutrophils depressed remarkably. Although they recovered
gradually, after one year these functions in some
cases were still lower than in normal persons.
Erythrocytes
At the time of hospitalization, a few patients
were slightly anaemic CRBC 3,000,000/mm’). No
reticulocyte was observed in them at the critical
stage. The cumulative percentage curves changed as in Fig. 4.
Colour index was higher than 1.0. The PriceJone’s curves of erythrocytes diameter were

displaced to the right of normal one at first,

&
P
Marked

at
Mederete

Fig. 2.

ws,
Silght

@
Uker

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Erosion

wae
Erythema

te
Epilotion

Distribution of Radiodermatitis'®

and returned to almost normal after one year.
These changes corresponded to changes of erythroblasts diameter in bone marrow.

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