140.
Dr. ROBERTSON, Med. Gazette, vol. xxxiii., p. 646, 1856.

Male, 26, labourer.

Never any serious illness till the last. Duration, twenty-two months.

Appetite bad; sickness and vomiting at intervals; pain in legs and right hypochondrium; pulse small and feeble; death from exhaustion.

Bronzing commenced about a year before death; face, arms, hands, and chest a dark brown; face and hands deepest; conjunctivæ pearly.

Both much enlarged; left capsule a soft cheesy mass, in a firm glistening yellow envelope; right capsule contained a solid cheesy substance, with a softened portion resembling cream.

Apex of left lung contained two or three small chalky deposits; other organs healthy; blood thicker than usual after death.

141.
Dr. E. MONTGOMERY, Path. Trans., vol. xiii., p. 246. Dr. BARKER.

Male, 14.

Had had perfect health until last illness. Duration, five months.

Loss of flesh; extreme weakness, almost inability to move, frequent vomiting, vertigo, feeble voice; no pain.

Skin everywhere distinctly bronzed; deepest on belly and back; fore-head and fore-arms paler.

Substance of capsules entirely destroyed; replaced by granular and calcareous matter.

A few calcareous tubercles in apices of lungs.

142.
Dr. DICKINSON, Path. Trans., vol. xvi., p. 243. Dr. PITMAN.

Female, 39, straw-plaiter.

None given. Illness about a year.

Debility, wasting, frequent vomiting; pulse small and weak, respiration feeble, manner listless; skin cool, but patient complained of burning heat; breath had a sickly smell; urine abundant and healthy; slight convulsion, followed by semi-coma before death.

Skin generally bronzed to a Mulatto tint; darkest on buttocks, on upper and inner part of thighs, near groins, and dark patches above each patella.

Left capsule enlarged, adherent to pancreas; on section, hard, elastic, marbled, resembling a fibro-plastic tumour; centre occupied by soft opake broken-down yellowish matter, not unlike crude tubercle; right capsule much smaller; central part semi-fluid, resembling creamy pus; several greyish nodules, like miliary tubercles.

Small mass of crude tubercle at apex of right lung, besides two or three round masses, rather larger than peas, believed to be tubercle; mitral valve thickened.