Pellagra, a trophoneurotic disease now appearing in this portion of the country, possesses a high mortality rate in its acute type; 64 per cent, in the cases reported by Searcy.1 Pellagra may probably be classed as one of the diseases caused by vegetable poisons, pellagrazein, a fatty oil or extractive so named by Lombroso. Pellagrazein is developed in fermenting and decomposing grain in the presence of a fungus. From the ingestion of this poison in corn meal the skin and nerve lesions characteristic of the disease result. As a rule there is associated with the disorder a pernicious dysentery probably of toxic origin. No cure has been found as yet.
For a more complete account of the disease the excellent articles by Bellamy,2 Searcy,1 Merrill3 and that of Randolph4 presented at this meeting may be consulted.
Considering the possibility that recovery from an attack of