4.
Dr. SLOANE, Med. Times and Gazette, vol. xxxvi., p. 221, 1857, Dr. BARCLAY.

Female, 21.

Had suffered from liver complaint, with permanent discoloration of skin. Duration uncertain.

Those of phthisis, with pain in left lumbar region, gastrodynia, occasional vomiting, and diarrhœa; progressive weakening and emaciation. Died from sinking.

Whole surface bronzed; abdomen, loins, hips, inner part of thighs, and arm-pits darkest; mammæ round nipples much lighter than surrounding skin; many white spots on breast and back; eye-balls pearly white.

Both appeared normal, and free from any morbid deposit.

Lungs, mesenteric glands, and peritoneum tuberculous; left kidney filled with cysts containing whey-like fluid and curdy matter; right kidney contained one walnut-sized mass of tubercle.

5.
Mr. G, MAY, Brit. Med. Jour. 1856, p. 819.

Male, 46.

Congenital blindness; slight attacks of gout, but otherwise good health. Duration uncertain.

Pulse feeble, breathing hurried, rest disturbed; debility, cough, vomiting, diarrhœa. Death in a convulsive, comatose state.

Discoloration most marked on face, neck, axillæ arms and legs; small brown spots scattered over body.

Both perfectly normal.

Lungs emphysematous; left ventricle of heart dilated.

6.
M. LUTON, Comptes Rendus de la Société de Biologie, 1856, p. 241, M. GUBLER

Female, 57.

Cough and spitting of blood for many years. Duration uncertain.

Those of the last stages of phthisis, with emaciation and copious diarrhœa.

Bistre patches on forehead and cheeks; backs of hands and wrists dirty brown; over rest of surface, earthy hue common in last stages of phthisis.

Both normal.

Lungs disorganized by tubercular degeneration; cavities filled with pus.

7.
M. PUECH, Gaz. Hebdomadaire, 1856, p. 706.

Female, 28.

Several attacks of syphilis. Duration unknown.

Sank under cerebral attacks, which supervened on phthisis.

Earthy colour on face; large brown patches nearly covering breast and abdomen, darkest round umbilicus; no desquamation of cuticle.

Both normal.

Emaciation; tubercle in lungs and intestines; effusion into brain and ventricles; liver enlarged.