The following case is of interest chiefly on account of the unusual distribution of the atrophy. It does not conform at all to the pseudohypertrophic type or to the Landouzy-Déjerine type, but approaches more nearly the scapulohumeral or juvenile type of Erb.
History.
—The patient, E. H., a white girl, aged 17, was a patient at the neurologic dispensary of the Jefferson Medical College Hospital. She had chickenpox and gastric fever at 8 years of age, and an attack of chorea at 9 years. This latter was caused by a fright, lasted six months, and was of unusual severity. She was never very robust.
Present Illness.
—The onset was so gradual that it was impossible to say just when the wasting commenced. Two and a half years before the time of examination the attention of the patient's mother was attracted to what seemed to be an unusual concavity in the front