143.
Dr. MUNRO, Dundee, Assoc. Med. Jour., 1856, p. 48.

Female, 40, clergyman’s wife.

Generally healthy, but never robust; eight or nine months before death, much anxiety and bodily fatigue. Illness dated from that time.

Short dry cough, with scanty expectoration; great debility; pulse small and compressible; sickness and prostration; consciousness to the last.

Dark spots on forehead several years before death, from which colour gradually spread over body; latterly, general hue that of a Lascar, darkest over back of neck, elbow-joints, and knees; stains on mucous membrane of lips.

Right capsule much enlarged, and adherent to liver; left capsule much smaller; on section, both organs presented two materials, one dense and of gristly hardness, the other a yellow cheese-like deposit.

Tuberculous deposit in apices of both lungs; solitary gastric glands very prominent; tubular glands of mucous membrane nearly gone, their place supplied by granular amorphous matter.

144.
Dr. L. MARTINEAU, “De la Maladie d’Addison,” p. 43. Drs. CORNIL and VAST.

Female, 48, labourer.

Discolouration had begun to appear after a time of great grief, six years before death. Illness, about fifteen months.

Pains in limbs and abdomen, and great debility, with some vomiting; towards the last, emaciation and prostration; tendency to faint if raised up; cough and slight hæmoptysis; no appetite; answered questions with difficulty; death quiet, from exhaustion.

Skin discoloured over whole body; most deeply bronzed on forehead, face, and backs of hands; colour uniform on hands, in patches on forehead.

Both much enlarged; enveloping membranes very thick, and sending processes into the organs; on section, right capsule shewed large yellowish masses, of tuberculous appearance, some still hard, others softening down into pus; left capsule in a similar state, but less advanced.

In apex of right lung, some crude tubercles; round these, and in the upper part of lung, some rather extensive patches of chronic pneumonia.

145.
Dr. L. MARTINEAU, “De la Maladie d’Addison,” p. 40. Dr. FREMY.

Male, 27, farrier.

Healthy until eighteen months before death.

Loss of strength and appetite; vomiting; dull pain in hypochondria, increased by pressure or by walking; pulse soft, compressible; tongue clean; progressive debility, pass-

Fair complexion became brown, and light hair dark; before death, general greenish-brown hue, deepest on face, insides of arms and legs, on penis, and on scars and burns;

Right capsule adherent, rough, and nodulated; on section, presented a yellowish cheese-like appearance; no trace of normal structure; left capsule larger and less adherent,

In apex of left lung, a few tubercles, one of which was softening; other organs healthy.