_ : + weuee -! “ss ease we ESae pte aie &, EB ty a * anne tcns Boa ea” oad te . ' In reviewing the case histories, physical examinations, and laboratory data that are available, there are seen certain differences between the peoples of Hiroshima and Nagasaki, and the unfortunate fishermen. These differences are, for the most part, one of degree; however, there are new signs and symptoms which were present following the 1945 atom bomb explosions. Pigmentation - this was an uncommon complaint in 1945. The cases in the crewmen seen to have started within 24 hours to 6 days, It was limited seemingly to areas where dust and dirt could come in contact with the skin, These darkened portions desquamated, but information as to time of completion of the peeling is not available. It is assumed that these lesions were due to beta burns, though some quarters have stated radioactive coral might be the cause, Ulcerations - these were located on areas where dirt and dust would be held in close contact with the skin. They are seen in the ears, which were not washed well; on the hands, where cotton gloves were worn; around the neck, where collars rubbed. The hair, particularly, was prone to catch and hold radioactive particles, ‘ashing of the hair did not seem to help and the shaving of the head did not occur for several weeks after returning to Japan. Itching and vesiculation ~ these complaints were also lindted to the same areas as the burns and ulcerations. Purpura-like lesions = no petechiae or purpuric areas were seen by the American group. However, there were discrete raised purple lesions on the abdomen, along the belt line (see photographs), ranging in size from a few millimeters up to 2.5 cm. These areas were amongst the first ~- to descuamate and revealed normal pink epidermis! ‘ ean Lf DCE ARCHIVES Z en re ee ye

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