95.
Dr. HABERSHON, Guy’s Hosp. Reports, vol. vii., p. 232.

Male, 23, lighter-man.

Good health until a year before death, about which time he was over-worked; some years previously, had had syphilis, and had been on the coast of Africa.

Weakness and inability to work; three weeks before death, after a dose of castor-oil, violent vomiting, which continued, with great prostration; pulse slow, and very compressible; feeling of cold, and faintness; breath short; mind clear until last day, when he became drowsy.

Semi-jaundiced appearance of face, and numerous dusky-red blotches on cheeks and forehead; discoloration much less on other parts of body; after death, face olive-brown colour; genital organs very dark, body and limbs only slightly discoloured.

Both much enlarged, hard, and surfaces uneven; on section, presented dense whitish semi-translucent tissue, with yellowish cheesy matter; also some cretaceous material.

Mucous membranes of stomach covered with tenacious mucus; patches of injection, and some points of ecchymosis, most marked at greater curvature; mucous membranes of duodenum injected; slight white consolidation at apex of right lung; other viscera healthy.

96.
Dr. ADDISON On disease of the Supra-Renal Capsules, p. 25.

Male, middle-aged, barrister.

None given. Illness about one year.

Extreme languor, faintness and anæmia; heart’s impulse feeble, palpitation on exertion; urgent and distressing vomiting of mucous matters, occasionally tinged with blood.

General surface dingy; on face, neck, and arms, various sized deep chestnut-brown patches; here and there also blanched-looking patches.

Both enlarged, hard, irregular, consisting of a firm reddish, semi-transparent basis, interspersed with spots of opaque yellow matter, and strongly resembling enlarged mesenteric glands, mottled with tubercular deposit.

Mucous membrane of stomach spotted with small numerous elevations, apparently increased development of natural structure.

97.
Dr. WILKS, Guy’s Hosp. Reports, vol. viii., p. 56, Mr. TOULMIN, Dr. GULL.

Female, 37.

Health good. Illness, two years.

Gradual decline; prostration of strength; pulse almost imperceptible; circulation very feeble; faint saccharine smell of breath; sickness and inability to take food.

Skin first orange, and then Arab-coloured; face and areolæ of nipples darkest; lips covered with pigment spots; dark line where garters had been

Both hard, and adherent to adjacent parts by tough inflammatory tissue; on section, exteriors of both found to be a yellow, firm material, as in other cases, but interiors softened

Apices of lungs indurated by chronic pneumonia; glands of duodenum enlarged; solitary glands, and Peyer’s patches prominent; specks of