Formerly the term lithemia was used to cover up our ignorance in regard to a number of affections of uncertain origin. We now know that there is no such disease, but we recognize some of the terms formerly included, of one of which I will report an interesting case.
—The patient was a white man, aged 32, married; occupation, telegraph operator. His father and mother were living and well; no history of rheumatism or gout. The patient had had the usual diseases of childhood and typhoid fever ten years before coming under observation. He has had periodic attacks of arthritis of the left knee for the past three years, accompanied by some swelling and tenderness; facial neuralgia for past three years, only slight.
—This began one year before the present attack, with slight headache, constipation, scanty urine and great nervousness. The patient suddenly awoke