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50-year-old woman, was brought to the hospital on September 17, 1973, along with her severed right forearm which had been completely amputated by machine approximately 30 minutes prior to admission.Replantation was performed by bone fixation, arterial and vein anastomosis, nerve suture, tendon and muscle suture and skin covering.On the 14th postoperative day, reconstructed radial artery occured rupture. Ruptured radial artery was restored with autovein-graft immediately.But on the postoperative 21th day, the patient had died with acute hepatitis.Histological finding of the ruptured arterial wall showed infected change.

A 57 years old housewife appeared at first on January 13, 1974, complaining of deformity of the right toes, ulceration of the right sole, tumor of the right knee, and hypesthesia on burn of the right hand since 29 years old. At the age of 39, ulceration of the right sole and left sole appeared. At the age of 52, amputation of the left lower leg was performed, and deformity of the left toes were appeared. Roentgenogram of the bones were characteristic. They were as follows: 1) osteolysis of the first metatarsal bone 2) osteolysis of the first, second and fifth proximal pharangeal bones. 3) Hypertrophy and deformity of the fifthmetatarsal bone 4) osteophyte of the spine (dorsal vertebra). Sensory disturbance of the lower legs and right forearm were proved, but sensory dissociation were not proved. The results of the routine laboratory tests remained within normal, and leprosy bacillus were not proved.

SOME specimens showing saltatory variation have been collected at various times for the museum of the Indiana University. It is the purpose of the present paper to place these on record. i. A remarkable case of meristic abnormality was collected near Harrodsburg, Ind. The specimen is a male of the common frog, Rana pipiegzs Schreber, 54 mm. long, and shows the following characters (Fig. i): The forearm and hand of the right side are duplicated. The extra part arises just behind the normal arm and passes inward and forward to below the eye of the left side. It is i9 mm. long from its origin to the base of the fourth finger and 2 mm. in diameter. The normal right forearm is I2 mm. long and 5 mm. thick. Its striking and unique feature is the band of skin through which it passes, and which holds it as a sling. This band is well represented by the photograph, and is 4 mm. wide. The supplementary arm and wrist are so placed that the fourth finger occupies the posterior place. The second, third, and fourth fingers are as in the normal hand, but more slender. Separated from these there are, in the place of the first finger, two fingers, of which the first is the longer. The free portions of the five fingers measure respectively 4, 2, 32, 5, and 3 mm. On the anterior margin of the base of the first finger there is a broad callosity. On the lower surface of the lower jaw, below the left eye, there are two tubercles, the posterior one the longer, measuring i 2 mm. in height. There are no other indications of abnormalities. The variation here recorded may be classed with pathological abnormalities rather than with variations that lead to the mutation of species.

The physical strength of the Oxford University crew and the crew of three Japanese Universities was examined and the following conclusions were obtained.1) The Oxford University crew are superior to the crew of the three Japanese Universities in the mean of height, weight, girth of chest, girth of neck, girth of waist, girth of right upper arm, girth of left upper arm, girth of right forearm, girth of left forearm; girth of right thigh, span of arms, breadth of chest, depth of chest, diameter of chest and strength of push.2) The crew of the three Japanese Universities are superior to the Oxford Uni. versity crew in the mean of trunk flexibility.3) The mean and the standard deviation of 22 items about the physical strength of English and Japanese crews are calculated. On the bases of the mean and the standard deviation, the standard for evaluation of physical strength which is divided into 5 classes, are made in both cases.4) In comparison with the difference of physical strength between American and Japanese professional base-ball players or Canadian and Japanese rugby football players, the difference of the physical strength between the crews of English and Japa. nese Universities is less on the whole.

Summary A small trial is here reported in which the reactions to multiple puncture tuberculin tests at 3 different sites in 58 persons were read by two observers. 28 were tested on both forearms and 30 on the right forearm and right deltoid region. All the subjects had received previous tuberculin tests on the left forearm. There was no significant difference in readability or type of reaction between the three sites chosen for the testing — left forearm, right forearm or right deltoid region. There was, however, a trend towards slightly larger reactions on the forearm than on the upper arm. The major finding was a marked observer variation between the two readers, in spite of a preliminary trial and careful adherence to a code of rules for reading the tests. It is concluded that ( a ) these is no advantage in using the deltoid region for multiple puncture tuberculin testing, ( b ) the possible suppression of tuberculin sensitivity by a previous test was not apparent in this series, ( c ) any slight site variations are quite unimportant compared with reader variation. It is suggested that, in view of the observer variation, anything less than a second degree positive multiple puncture tuberculin test should be viewed with suspicion as an indicator of previous tuberculous infection, unless a second experienced reader agrees with the primary interpretation. If this should not be the case, then it is suggested that the test be repeated.

The literature of osteopetrosis has been reviewed and one case with a follow-up of twenty-four years has been reported. The benign form of this bone disease is associated with generalized sclerosis of the skeletal system. The multiple transverse fractures, thirty-three in this patient, are characteristic of the disease. Encroachment of the right optic nerve also occurred in this patient. Severe varus deformity of both femoral necks developed spontaneously during childhood, and an angular deformity of the right forearm resulted from numerous fractures of the right radius and ulna. All fractures were treated by conservative means.

Levels of muscle tension of the forehead and right forearm were assessed electromyographically for psychotics, neurotics, and normals during a variety of rest/stimulus conditions. No differential trends of relaxation were noted. In general, resting tension did not reliably differentiate neurotics from normals; dysthymics, however, were found to be significantly more tense than were hysterics. Psychotics were significantly more tense than normal in a resting situation. Stress situations do not differentiate any of the groups except in one instance: when responding to questions concerning their symptoms, neurotics as a group manifest a very significantly greater level of arm tension. Tension scores are shown to be highly consistent, even over a period of days.

A NUMBER of studies have been published recently on a tuberculin patch test as described by Vo]lmer. ~ These studies have been concerned, for the most part, with a comparison between the patch and intradermal methods of administering tuberculin to children of a known tuberculous process, active or inactive. It is agreed generally that such processes are associated with a degree of tuberculin activity usually higher than that following B C G vaccination. Consequently a comparative study in B C G vaccinated children seemed to offer a reasonably crucial trial of the efficiency of the patch test. The children concerned in the present study, half of whom were vaccinated with B C G at 4 to 7 days of age, ~ have been followed from birth by semiannual clinic visits. The immediate members of the family were examined roentgenologieally by chest plate before the birth of ~the child. The subjects of this report were a]l delivered at Cook County Hospital and consequently came from more or less the same economic strata, the race distribution being approximately 63 per cent colored and 37 per cent white. The immediate family environment was nontuberculous. However, the general milieu of the great majority of the children shows a high incidence of tuberculosis based upon the recently reported morbidity and mortality statistics indicated by census districts of the city of Chicago2 The follow-up studies of these children included among other things semiannual tuberculin tests. These are, of course, necessary for the determination of infection among the control children on the one hand and to estimate the duration of the allergic response of the vaccinated children on the other. Statistics concerning this particular phase of the problem are being published elsewhere. 2 The routine established was to perform a Mantoux test on the right forearm using 0.1 c.c. of old tuberculin in concentration varying from 1:1,000 to 1:100. At the same time a patch test was applied to the interscapular region in the horizontal plane. The Mantoux tests were read in forty-eight hours and the patches removed. Two days later, or ninety-six hours from the time of application, the children were again seen and the patch test read. In Table I are summarized the results of this study. Comparisons were made between the patch test and Mantoux test done with different dilutions of old tuberculin. The dilution of tuberculin was determined

Presentation of Case A thirty-six-year-old fish cutter was admitted to the hospital because of ulcers on the right leg and right forearm. He had been well until ten months previously, when he scrap...

"Our patient's response to the medication which you sent us on March 25 was as follows: He began with an acute phase of bleeding on April 3, which was evidenced by nose bleeds, a large hemotoma in the sublingual area of the throat, and pain and swelling in both elbows. He began taking the peanut concentrate on the evening of April 3, with a 10-gram dose. He continued with the medication, 10 grams twice daily, for a total of 5 doses. He experienced complete relief of pain and a cessation of the nose bleeds in about 10 hours after the first dose. The swelling and stiffness in the throat and elbows subsided in about 24 hours after the first dose. "On the evening of May 4, the day we received the second shipment of the concentrate, the patient developed a large hemotoma in the right forearm which extended down to the wrist and produced very severe pain and stiffness in the wrist and hand. He began taking the concentrate in the same dose described previously and again experienced complete relief of the pain and stiffness in about 10 hours after the first dose. The swelling subsided almost completely in thirty-six hours.

ON July 24, 1928, Mr. G. N., a cigarmaker, aged 60, entered the surgical section of the out-patient department complaining of a painful swelling of the left elbow. There were also two lumps the size of walnuts on the right forearm near the wrist, and another below the left knee, but none of the se was as painful as th e left elbow. The patient stated that when he was a baby he was saved from falling downstairs by his father, who caught him by the left leg; in this manner his left hip was dislocated, making him lame th e remainder of his life. He was always healthy, however, following the trade of a carpenter until about nine years previous to the present examination, when his left elbow became stiff, causing him to give up carpentering and become a cigarmaker. In 1922, two small “tumors” were cut out of the elbow region but the swelling had gradually returned unti l now he was almost completely incapacitated. Examination showed the elbow joint to be greatly enlarged (Fig. 1), with the surrounding tissues ...

Thirty-six male college students served as subjects in a study that examined the relationship between isometric strength and relative isometric endurance of the right forearm flexor muscles. The percentages of maximum isometric strength used for the endurance tests were 30, 45, 60, and 75. Three equal groups were formed based on the strength level of the subjects, and an analysis of variance test was used to determine the existence of significant differences. Significant negative correlations were found between isometric strength and relative isometric endurance. The weak subjects performed significantly better than the strong subjects on the light weight loads, with no difference existing between the endurance performances on the heavy loads.

E.M.G. electrodes were placed on the right forearm and chin of ten subjects while they performed simple addition. It was possible to record from one pair of electrodes the amount of muscular activity in the right forearm while the other pair indicated the moment of speaking and thus the speed of work. The variations in muscular tension and in speed of work were followed during the course of addition and this intra-sum analysis revealed a different relationship from that found when larger units of work were taken. In the former case a marked tendency was found for increases in speed to be accompanied by low levels of tension, whereas when sums were taken as units no consistent relationship was apparent between the two variables within any one subject. This and other discrepancies are briefly discussed.

A woman aged sixty years was admitted to the Nagasaki-Rosai Hospital on July 16, 1968, with the complaint of a lump on the outer side of her right forearm in the upper third which she had noticed for the past four years.There were no motor or sensory deficits in the right upper extremity. Radiograph showed a well-difined radiolucent mass measuring 7×4cm. situated adjacent to the proximal end of the radius.At operation the tumor was found buried beneath the fibers of the supinator brevis muscle. The supinator muscle was thinned and atrophic. The superficial radial nerve was stretched over the convexity of the tumor. The tumor was soft, yellow and well encapsulated. The basal part of the tumor was firmly attached to the proximal end of the radius. The appearance of the cut surface of the tumor was characteristically yellow and greasy.Microscopic sections showed benign adipose tissue.

From an old Italian collection there has come to Holland the bronze statuette here published, representing Poseidon as he is known to us from several marbles and bronzes and numerous Hellenistic and Roman coins. The god is shown leaning forward on his raised and bent right leg, his right forearm resting on his thigh, his left hand raised high. The statuette, which measures 17½ cm. in height, is in an excellent state of preservation; only the tops of the thumb and of three fingers of the right hand are missing; too vigorous cleaning has removed much of the patina; on the right side of the neck is a hole, probably a vent. The statuette is of very fine quality and excellent workmanship. In spite of its small size it is impressive and monumental, and strongly recalls a life-sized original; evidently this was a modelled, not a sculptured one; we have to think of a bronze statue. Coins of Demetrios Poliorketes, the figure on which shows exactly the same posture as our bronze, tell us that the right leg rested on a rock and the left hand held a trident.The most famous of this well-known type is the Lateran statue, which has been much discussed as to the authorship of its original. Unfortunately this is rather a bad example of a Roman copy, made in a very classicist taste, probably in the first half of the second century A.D.; moreover, it has been much restored. Helbig tells us that nose, left arm, both legs up to the knee, ship, dolphin and plinth are restored, while parts of the hair and beard are new.

Summary A case is presented of a sixty-five year old woman who underwent removal of a primary malignant melanoma of the neck in March, 1950. A metastasic skin nodule showing melanocarcinoma was removed from the right forearm in August, 1954, and a gallbladder showing metastasis of malignant melanoma in February, 1955. Four months later there was no clinical evidence of recurrence and the patient was symptom-free. However, only two weeks after that signs of lung metastasis developed, from which the patient suddenly died.

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Dr. David C. Mitchell: A 29-year-old white male was found approximately three hours after having fallen a distance of about 100 feet off a bridge. He had landed in some soft dirt at the base of a supporting column. Because of his injuries he had been unable to move and apparently had lapsed into unconsciousness intermittently during the three-hour period. When he arrived in the emergency ward he was conscious and complained of pain in the right thigh, right forearm, and left thumb. His blood pressure level was 100/70 mm Hg and his pulse was 110 beats per minute. The hemoglobin level was 12.2 gm/100 cc, and the white blood cell count was 40,800 cells per cubic millimeter. The volar surface of the right forearm had been severely lacerated. There was a closed fracture of the right distal femur. The circulation and neurological status of the right lower extremity were normal. Emergency care was given

Afew cases of sporotrichosis have been reported in North Dakota. Probably many cases are not recognized. Diagnosis is easy if this disease is kept in mind. Potassium iodid occasions a prompt recovery. Ordinary surgical treatment is of little avail. Patient. —G. A., a man, aged 19. Five weeks before examination, while at Tappen, N. Dak., a lump like a "boil" appeared on the dorsum of the right hand. No pain, tenderness, fever or other constitutional symptoms were present. A few days later subcutaneous nodules began to appear on the back of the right forearm. On examination there was an ulcer about I inch in diameter on the dorsum of the right hand. The ulcer was raised and contained thick gelatinous pus. There was no pain, tenderness, fever or headache. Three nodules on the back of the right forearm were similar to that on the hand except that there was no

Ecthyma contagiosum, also known as orf * and ovine pustular dermatitis, is a virus disease of sheep and goats which is occasionally transmitted to man. The purpose of this communication is to (a) report the occurrence of ecthyma contagiosum in an 18-year-old woman; (b) describe the disease as it occurs in man, and (c) consider briefly the salient features of the disorder in animals. REPORT OF A CASE M. L., an 18-year-old white woman, was admitted on the Dermatology Service of the University of Virginia Hospital on May 9, 1953, because of a lesion on the dorsum of the right forearm near the wrist. The patient had scratched the site three weeks previously on a wire fence that constituted a pen for pet lambs. The scratch appeared to be healing in the usual manner, but erythema and slight elevation appeared in it approximately one week after the

IN 1929 Leri and Weill1first described an unusual type of dwarfism that involved mostly the middle segments of the extremities with a characteristic appearance of the forearm. Twelve additional case reports have subsequently appeared in the European literature.2-5To our knowledge, no previous cases have been published in the American literature with the exception of a European case incorporated by Rubin into his monograph.6 Report of a Case The patient is a 21-year-old white woman born in the United Kingdom and presently employed in the United States. She was first seen in the emergency room of the New Rochelle Hospital on Jan 15, 1965, after sustaining trauma to her right forearm. An unusual deformity of the right forearm was noted, further roentgenograms were obtained, and the diagnosis of mesomelic dwarfism was established. The patient stated that she never had any difficulty in performing the usual household

Speed's classification of carpal dislocations includes an intercarpal group, defined as occurring between the distal and proximal rows of carpal bones. While any dislocation of the intercarpal articulation is uncommon, in most instances in which it does occur the distal carpal row is displaced posteriorly. In the case to be recorded here the chief displacement of the distal row was to the ulnar side. A review of the English literature for the past fifteen years failed to reveal any reference to a similar dislocation. A 43-year-old male, an oil field worker, presented himself because of injuries to the right hand and wrist, sustained two hours previously. While working with an oil pump, he had fallen, and the right forearm and hand had been caught between a flywheel and the arm of the pump. Specific details as to the mechanism of the injury could not be elicited, but apparently the forearm had been held firmly while force was exerted on the hand and wrist. The patient gave a history of three previous fract...

Morphea. Presented byDr.StuartC.WayforDr.HarryE.Alderson. J. W. H., a woman, aged 49, married, presents typical lesions from 1 to 3 cm. in diameter, arranged over the back, the sides of the neck, the upper anterior part of the chest, the posterior aspect of the right forearm and the thighs, the groins and beneath the breasts. The lesions are pruritic at times. The first one appeared in the lumbar region in September, 1930, following the removal of the gallbladder, which contained many stones. Since the operation, the patient has had pains in the lower dorsal region, which are attributed to adhesions. Panhysterectomy was performed twelve years prior to presentation on account of a fibroid, and an appendectomy had been performed twenty years prior to presentation. Otherwise, her health has been good. She is rather pale, but her general condition is favorable. The basal metabolic

The following case is reported on account of the rarity of sarcoma, especially fibrosarcoma, in the veins occurring as an extension of sarcoma in their vicinity and not as true metastasis. REPORT OF A CASE History. —A. S., a man aged 42 years, married, with four living children, was apparently in good physical condition except for a tumorous lesion extending from the right wrist to the forearm (fig. 1). This lesion was first observed about eight years before examination, and started as a small lump near the palmar surface of the wrist; there were no symptoms of pain or any inflammation. The swelling gradually and slowly increased until about one and one-half years before examination, when it was observed to be spreading up the forearm; it finally extended from the wrist to the biceps. On examination it was seen that on the flexor surface and radial side of the right

To the Editor: —The problem offered by the query from Pennsylvania (The Journal, January 7, p. 51) relative to immunization of nurses is an interesting one in practical immunology, and in part, at least, is not infrequently presented to the physician. Carrying out the same general order as that given inThe Journal, and with the same number of visits to the physician (seventeen), the following scheme would serve to give the most favorable days for observation and for reading the various reactions: Day zero: Schick test on the right upper arm and control on the left upper arm, using the flexor surface 2 inches above the fold of the elbow. Day 2: (Two days later): Smallpox vaccination on the left upper arm over the insertion of the deltoid muscle (not on the leg). Day 3: Dick test on the right forearm, control on the left forearm, using the flexor

A 1-year-old girl developed a lesion in the skin of the right forearm. The lesion slowly increased in size and was removed when the girl was 6 years old. On removal the lesion was circumscribed, partially encapsulated, and was composed of wavy fibrils, cells with serpentine nuclei, and numerous large round to oval ganglion cells. The patient has no other tumors at this time, but had multiple papular lesions of the feet at birth, which spontaneously regressed before the age of 1 year. The exact nature of these lesions was not determined.

A Case for Diagnosis (Heberden's Nodes?). Presented by Dr. M. F. Engman and Dr. W. H. Mook, St. Louis. M. B. D., a white woman, aged 49, stated that her present illness had begun suddenly eight years previously, with involvement of the joints of the fingers of the right hand. The other joints, large and small, were involved one after the other quite rapidly. The nodules had also first appeared eight years previously as a small lump in the skin of the right forearm near the elbow. From that time on numerous similar nodules, some quite large, appeared on the extremities. At times some of the nodules became inflamed, broke down, ulcerated and healed. They were present chiefly over the extremities near the large joints. There were a few over the occiput and few small ones in the margins of the gums. They were from 0.5 to 2 or 3

S. F., a man, aged 21, who had not had scarlet fever, had been acting as a test subject for the standardization of scarlet fever toxin and antitoxin, and usually exhibited a typical Dick reaction from 2 to 3 cm. in diameter. April 6, 1926, he was given, on the anterior surface of the right forearm, two intracutaneous injections of scarlet fever toxin, one containing 5 skin test doses of standard toxin as furnished by the Hygienic Laboratory, Washington, and the other, two inches below, containing 1 skin test dose of test toxin. At the same time, two intracutaneous injections of 5 skin test doses of toxin were given on the left forearm, each neutralized with scarlet fever antitoxin, the upper injection containing more antitoxin than was sufficient to neutralize the toxin. As neither of the last two sites showed a reaction at the end of forty-eight hours, while the

This report describes the first case of tinea corporis due to Trichophyton simii recognized in the United States. The patient, a 25-year old female Caucasian student, developed a 3 × 3 cm red scaling patch on the right forearm four and one half months after she arrived in India. Eight weeks later, after examination at the University of Chicago Clinics, Trichophyton simii was identified from fungous cultures. Inoculation of the organism in guinea pigs produced an endothrix infection with brilliant light green fluorescence under Wood's light. The cultural and microscopic features of this organism, indigenous to India, are described.

The increasing popularity of mah jongg has brought to my attention a number of cases of dermatitis of the hands and face in which I have suspected that the irritating agent was the Japanese lacquer with which the mah jongg sets are varnished. In the subjoined case this was definitely proved to be the etiologic factor. REPORT OF CASE A man, aged 38, who had been under my care for several years with a mild ichthyosis and at various times had had an eczematoid ringworm of the feet, presented himself, Dec. 24, 1923, with a vesicular dermatitis of the right forearm. The diagnosis I made at this time was a plant dermatitis, as inquiry elicited the fact that he had ferns and other plants in his apartment. Under soothing local applications (calamine lotion) the eruption subsided in a few days. On the morning of December 30, I was called to

Bilateral areas of persistent leukoderma1-4(Fig. 1) resulting from the clinical evaluation of 1% to 10% monobenzyl ether of hydroquinone (MBH) offered an ideal control study for evaluating the effectiveness of 8-methoxypsoralen (8-MOP)*in restoring pigmentation. Nine Negro male subjects with extensive areas of leukoderma on the flexoral surfaces of both forearms, persisting 21/2 years after MBH, were treated for a total of 8 months. For the first 4 months a 5-day weekly schedule of 30 mg. of 8-MOP was followed after 2 hours by exposure with ultraviolet light (Burdick hot quartz Hospital Model LA640) to the flexoral surface of the right forearm. A target distance of 10 inches with a 10-minute exposure was maintained after the first 2 weeks. For the next 4 months the flexoral surface of the left forearm was exposed to ultraviolet light 5 days weekly in the same manner but without the preceding dose

This report is prompted by the complete recovery occurring in a case of osteomyelitis of the rib complicated by an empyema in an infant, in which conservative treatment was followed. REPORT OF CASE History. Thomas P., aged 6 months, was admitted to the Barnert Hospital, Dec. 29, 1933. One month before he had caught cold, and a left otitis media developed a week later. A myringotomy was performed and the ear drained for three weeks. About a week after the ear was opened, an indurated swelling about 2 inches in diameter appeared on the right side of the back at the angle of the scapula. This seemed to recede somewhat and a few days later a much smaller swelling was noticed on the lower part of the right forearm. The infant's past history was irrelevant. Physical Examination. The temperature on admission was normal. During the examination the infant cried constantly

Our purpose in this communication is to invite attention to the increasing frequency of peripheral nerve injuries as the result of automobile accidents. Lacerated wounds caused by flying glass frequently produce scars that contract and impinge on important nerve trunks. The resulting paralysis simulates closely division of the involved nerves. The following case is illustrative of the difficulties of diagnosis in cases of constricting scars and the brilliant results obtained by liberation of the compressed nerve trunk. History. —Mrs. J. R., aged 27, admitted to the hospital, May 9, 1932, had suffered a severe laceration of the right forearm in an automobile accident seven months previously. There is no definite information as to whether the disability came on immediately or began at a later date. The wound was immediately repaired and the arm put in a cast. On removal of the cast she first recognized her inability to use her

In 1930 Burman and Milgram1could find records of only sixteen cases of hemangioma of a tendon or of a tendon sheath, including six cases of their own and ten previously reported in the literature. In the present article a case is presented, and reports of eight more are collected from the literature, making the total of reported cases twenty-four. One of Burman and Milgram's cases is not included. REPORT OF CASES Case 1 (Richet,2 1860). —A child aged 10 years complained of swelling of the lower two thirds of the right forearm of twenty months' duration. No murmur was heard on auscultation, but pressure could produce filling and emptying. A diagnosis of a venous erectile tumor was made, and treatment by injections of ferric chloride gave perfect results. Case 2 (Delageniere,3 1894). —A seamstress aged 41 had noted seventeen years before operation that she had pain

To the Editor: —To your list of published cases—victims of the Tricho System—I wish to add yet another: Miss M. W. —Patient, aged 28, reported that she had had x-ray treatments at the Tricho Institute somewhat over two years ago for epilation of the hair on both arms. These treatments were given her at two-week intervals. After the sixth one patient noticed both swelling and pain in right forearm, which, however, shortly disappeared. Following this, and for this reason, she discontinued treatment. Some two years later a skin condition appeared, which grew steadily worse. At time of consultation patient exhibited multiple marked telangiectases of both forearms and lower portions of the arms. The lesions varied in size from that of a pinpoint to that of a small bean, not elevated above the surrounding skin, disappearing completely on pressure again to reappear after pressure was released. Dendritic ramifications were so numerous

In the English and American literature there is a striking paucity of references to the so-called "fixed arsphenamine dermatitis," cases having been reported only by Moore and Keidel 1 and Stokes and Cathcart. 2 The first description of this condition was given by Naegeli 3 in 1917. Following this article there came similar reports from Fuchs, 4 Engweer and Josephson, 5 Thibierge and Mercier, 6 Schofeld, 7 Leibkind, 8 Kraus 9 and Levin. 10 The patient who is the subject of the following case report was seen by my associate, Dr. F. J. Eichenlaub, in a clinic in 1920 and was brought to the office by him for observation. REPORT OF CASE A white woman, aged 34, sought relief, in 1920, for a circinate nodular syphiloderm situated on the outer aspect of the right forearm about midway between the wrist and the elbow. The Wassermann reaction was strongly positive. Following

Performance of the Schick test and active immunization with toxinantitoxin were started on a large scale in the public schools of New York during the spring of 1921. Since then the work has been continued under the general direction of Dr. Park, and nearly all the children in public and parochial schools in Manhattan and the Bronx have been tested by myself and my group of assistants. In Brooklyn and Queens the work is being carried out by Dr. Schroder and her associates. The following report represents the tabulated summary of the Schick test on more than 150,000 schoolchildren in Manhattan and the Bronx. A. THE SCHICK TEST AND CONTROL TEST: DILUTIONS FOR THE TEST The Schick test was made on the right forearm of each child and the control test with heated toxin on the left forearm. The reactions were read from the third to the seventh day after

This case of mycosis fungoides is reported because of its unusual clinical features. REPORT OF CASE History .—A white man, married, aged 39, had an unimportant past history, except for incision of a cervical lymph gland at the age of 3 and hemorrhoids for the past few years. On Oct. 3, 1931, the patient, while sleeping on the sand at the seashore, was awakened by a stinging sensation on the dorsal surface of the right forearm just above the wrist. Although he had not seen an insect, the patient felt sure that he was bitten by one. He continually scratched the affected area because of the intense itching. Within two or three days there were inflammation and swelling. A physician saw him at this time and referred him to the Coney Island Hospital with a diagnosis of carbuncle. Examination of the lesion showed a large, circumscribed, indurated, painful, fluctuating