86.
Dr. JEAFFRESON, Brit. Med. Jour., 1857, p. 22.

Male, 40, labourer.

None given. Illness, about one year.

Feebleness of pulse; frequent vomiting, coldness of surface; tenderness on pressure in region of duodenum and two dorsal vertebræ; heavy, depressed manner; on day of death, headache, insensibility, and slight convulsions.

Skin yellow from beginning of illness; a month before death, was noted to be universally of dark leaden hue, but conjunctivæ quite clear.

Left capsule contained an encysted tumour, whose walls were hard and almost gristly, the interior being cheesy matter, in some parts softening down to pus.

All healthy; only structural disease in body was in left capsule; little emaciation; yellow fat on abdomen.

87.
Mr. J. KENT SPENDER, Brit. Med. Jour., 1857, p. 274.

Female, 21.

None given. Illness, one year; discoloration, three months.

Progressive debility and emaciation, with feeling of coldness; loss of appetite, and nausea; sense of weight in right hypochondrium; depression, failure of memory; death quiet, from exhaustion.

Skin of face nearly as brown as a Mulatto’s; backs of hands, especially knuckles, very dark; all the covered portions of surface were of normal colour.

Right capsule very large, and adherent to liver and kidney; left capsule of normal size; on section, purulent matter exuded from both, and a number of other miliary bodies were visible, which, under microscope, were found to be cheesy masses surrounded by creamy fluid.

All healthy; cranium not examined; body greatly wasted; fibrinous coagula in heart.

88.
Mr. J. MOORE, Lancet, 1864, vol. ii., p. 475.

Male, 30, clerk.

Had not been in good health for two years. Discoloration, six months.

Debility and general indisposition; sickness almost constant the last few days; pulse 120, thready; great feebleness; died of exhaustion.

Face of a pale olive hue; backs of hands very dark; several patches of black pigment on lips; eyes not discoloured; discoloration on body slight.

Both converted into soft yellow cheesy masses.

Normal.

89.
Dr. WILKS, Guy’s Hosp.

Male, 13.

None given. Illness, four months.

Pain in back; inability to stand or sit; extremely feeble pulse; drowsiness,

Whole surface of a yellowish-brown hue, excepting palms of hands and

Both enlarged and converted into a tough yellow amorphous matter,

All healthy; Peyer’s patches in small intestine; much raised;