The following is the report of the patient whom I presented for consideration to the Section on Cutaneous Medicine and Surgery of the American Medical Association at the session held in Atlantic City, June, 1907. The description of the case then given was informal and I now present a detailed history:
—Mrs. J. C. M., aged 43, housewife; nativity, United States.
—Mother died of paralysis at the age of 55 years, father of nephritis at the age of 50 years. The family history is negative as regards cancer, tuberculosis, gout and rheumatism.
—As a child she had measles, chickenpox, mumps and scarlet fever. Three years ago she had ulceration of the stomach. She denies venereal disease.
—Two years ago she walked against the edge of a door and received a fracture of the nose, which did not unite until one year after the