Miss D. L., aged 28, gave a history of an attack of "nerves" four years previously, with a prior history of goiter. She took iodine for some time, with improvement. Physical examination at that time showed fusiform enlargement of the thyroid without damage to the heart. The tonsils were hypertrophied. The patient was not sick again until now.
In the latter part of February, 1931, the patient began to have pains in the arms and legs and the lower part of the abdomen, with strangury and headache; she did not have rise of temperature. The symptoms were thought to be due to influenza. The pains not yielding to medicine, the patient was admitted to the Telfair Hospital for examination and diagnosis. All serologic tests were negative. Examination of the blood revealed: white blood cells, 9,000; red blood cells, 4,500,000; hemoglobin, 75 per cent; clumping time, eight and one-half minutes, Wassermann