159.
Dr. PAGE, St. George’s Hospital, Brit. Med. Jour., 1859, p. 717.

Male, 17, saddler.

None given. Illness four months.

Debility, emaciation, vomiting, pain across loins, and burning sensation at lower part of sternum; pulse very feeble; skin cold; wandering of mind; torpor at the last.

Universal discoloration, of a dirty yellowish hue, approaching to bronze on exposed parts; conjunctivæ perfectly white.

Both enlarged, and occupied by a mass of tubercular deposit; no portion of healthy gland left.

Small collection of crude tubercle in apex of right lung; mesenteric glands enlarged, and tuberculous.

160.
Dr. MURCHISON Path. Trans., vol. x., p. 268. Dr. SCURRAH.

Male, 36.

None given.

None reported, except that there was pericarditis.

No bronzing of any part of skin.

Right capsule much enlarged, left rather smaller; interior, and greater part of both, the seat of a mass of yellow scrofulous deposit.

Acute tubercle of lungs, pleuræ, peritoneum, liver and kidneys.

161.
ADDISON “On Disease of Supra-Renal Capsules”, p. 22. Dr. BRIGHT, 1829.

Female.

None known. A month in hospital.

Irritability of stomach; bilious vomiting; debility; obscure tumour in left breast; swelling of parotid; drowsiness, from which she could be roused; pain over forehead, and a little wandering for a day or two before death.

Complexion very dark. (N. B. - Case occurred many years before the publication of Addison’s work.)

Both enlarged, lobulated, and the seat of morbid deposits, apparently of a scrofulous character; they were at least four times their natural thickness, solid, and hard; one part of left capsule had suppurated, containing two drachms of yellow pus.

Upper lobe of each lung puckered, and contained one or two masses of earthy matter, besides several incipient tubercles; small abscess beneath mamma; brain atrophied; heart and other organs healthy.

162.
Dr. WILKS, Guy’s Hospital Reports,

Male, 28, coach-man.

Sudden hemiplegia a year before death, from which he never recovered.

Felt very ill the last few weeks of life, complaining of pain in head; a second paralytic stroke caused death.

Skin of an unusually dark colour; face and hands of an olive tint.

Both disorganized from presence of adventitious material, of a grey, semi-transparent appearance; scattered through this

Scattered tubercles in upper lobes of lungs; arachnoid inflamed, fluid in ventricles; softening at