Polycythemia (Vaquez-Osler disease) is a sufficiently rare condition to warrant the report of a case, especially one complicated by gout and by a sharp angulation of the left ureter and left hydronephrosis, the result apparently of the enlarged spleen displacing the left kidney downward.
>REPORT OF CASE
A white man, aged 65, married, a mechanic in an x-ray factory, entered Alexian Brothers,1 Hospital, Nov. 24, 1926, complaining of cramplike pains in the feet, ankles and hands, of the left leg feeling heavy "as if wrapped with a lead bandage," of choking sensations when lying down, of a feeling of weight in the left hypochondrium, of dimness of vision, of swelling of the feet which subsided at night, of constipation, of bloodshot eyes and a reddish purple discoloration of the hands and face, and of small yellow deposits in the skin of the fingers and under the skin on the outer surface of the