history are very indefinite; she is unmarried, and denies any venereal infection.

Present illness: Began four months ago, she noticed a small sore appear on the inner side of knee without any cause; this gradually grew and about two months ago became very painful. She took the internal treatment for a long time without any effect. Two weeks prior to her application she noticed that a similar sore had appeared on the right wrist which was exceedingly painful at night, so much so that at times she was unable to sleep.

General appearance: patient well nourished and developed, of a medium size. Thorax and abdomen: negative. Lymph nodes enlarged over entire body. On dorsal side of right wrist is visible a large circumscribed flat mass which excretes a clear fluid. On internal aspect of right knee above condyle there was a large ulcer with hard, indurated edges, both were very painful on pressure.

Treatment: She was given 25 m. of the red iodide every other day for eight days, at the end of that time the excretion from the ulcer at the wrist had ceased, and the one on the knee was very much better. Thus far she has had nine injections. She is doing fine. Since the third injection she has experienced no pain at all.

I report this case because it was of great interest to me, knowing that it would likewise interest you all.

W. R., colored male, aged 17. Came for treatment on August 27 of last year. His complaint was "Pocks," which he undoubtedly had. He claimed to have acquired this one month before that time.

He had the initial sore, and a diffuse macular eruption on hands and neck, over trunk and lower extremities they were bilateral but not as numerous as over forearm, hands and neck. On corona (left) of penis was the initial sore. He had a mucous patch on side of tongue near end. He had temperature 99.2 and had a feeling of general malaise.

This patient was given the regular dose of the red iodide, 20 m. every day instead of every other day. After 48 hours (two injections) there were marked changes, the macules were beginning to fade, and in some places were entirely gone. He was then given the same dose every other day for eight doses and the patient's skin was clear, as before he contracted the trouble. Had occasion to see him several times since we gave him the treatment and he

is well; however, about three weeks ago he applied for advise with a gonorrheal infection.

This case will illustrate the good effects in late tertiary lesions. C. D., white male, 56 years of age, bookkeeper. Previous history shows that he was healthy up to 35 years of age when he contracted syphilis, from which he was treated and apparently cured up to 11 years ago, when he developed a large gumma on his back, which was removed. He again enjoyed good health until two months ago, when he noticed a small growth at the junction of the lumbar and sacral vertebræ in the median line. It gradually grew larger, and when it attained the size of the fist it broke down and suppurated, emitting a very foul odor, for which he consulted me in the latter part of 1903. I gave him 11 injections during 6 weeks, mostly around the mass. In that time it healed entirely and he has shown no symptoms of syphilis since.

In Charge of the Publication Committee, DR. E. M. HUMMEL, Chairman. DR. HOMER DUPUY and DR. S. K. SIMON.

MEETING OF FEBRUARY 22, 1908 (Continued).

DISCUSSION OF DR. FENNER'S PAPER

ON INFANTILE SCURVY.

DR. PARHAM: I would like to ask Dr. Fenner if cases some times showing Henoch's purpura and similar symptoms, might not have scurvy as a basis. I have observed such cases with a tendency to calculus formation, showing purpuric spots and joint pains. I am glad Dr. Fenner has called attention to this condition, which I am convinced is frequently overlooked. I further think the doctor is to be congratulated on the happy ending of the cases presented.

DR. GRANER: I saw two cases of scurvy several years ago, in one of which the child had been fed constantly on sterilized milk. The symptoms were intestinal disturbances, temperature and anemia. The condition cleared up with the free administration of orange juice. I think that sterilized milk is a frequent cause of infantile scurvy, especially in children nine or ten months of age.

DR. CHAMBERLAIN, U. S. A. (a guest of the Society:) I would like to report the "Case of a Child Sixteen Months Old, Who Had Never Walked Alone." No evidence of pain or sensitiveness was noticed. At first the child could stand, but later could not. Then it could crawl, but subsequently it failed to do even this, collapsing when raised to its knees. These symptoms developed gradually during about five weeks. There were no gum symptoms, nor was there any pain when the legs were squeezed or moved. All the time the child was happy and cheerful. Administration of orange juice caused prompt disappearance of the symptoms and the child was greatly improved in four days, and standing again in one week.

DR. FENNER (in closing): I must confess that I have not a perfect knowledge of Henoch's purpura, but I am inclined to believe that cases presenting such symptoms are scorbutic in origin. The main purpose of my paper was to call attention to this condition and its symptomatology. Often the real condition is overlooked and children suffering from pseudo-paralysis and supposed rheumatic symptoms, are treated with electricity and swathed in bandages and lotions, only to recover after having the juice of a single orange. It is the opinion of some authorities that intestinal intoxication is a cause of scurvy; however, this question is not settled. At any rate, when the diagnosis of scurvy is established, prompt relief is always afforded by the administration of orange juice.

[Discussions of papers of March meetings to appear at conclusion of Symposium on Tuberculosis.]

Editorial Department.

CHAS, CHASSAignac, M. D.

ISADORE DYER, M, D.

The State Medical Society Meeting.

The State Society meets in Alexandria May 13, 14 and 15, 1908. We have already called attention to the fact that the local profession at the place of meeting has used every effort to provide for the comfort of those in attendance. The organization of the State Society depends upon the interests which attract the individual member, and these are to be weighed by the scope of a program, the social relationship of the members, and by the cohesiveness of the body politic in the Society itself.

The State Society meetings are made up of men who attend them for these reasons and others peculiar to the particular group. An attractive program with papers dealing with subjects of current interest and presented by men qualified to review current opinion and achievement is bound to be the chief element of attraction at any association meeting. The purposes of organization, however, are far more subserved by the opportunity of intellectual intercourse outside of the convention hall, and it is the fraternal handclasp and the exchange of ideas on outside topics that cement the friendship which moves on to the accomplishment of any concerted action.

The State Medical Society of Louisiana has accomplished a great deal during the past ten or twelve years, but there are still matters of vital interest to the profession which need the attention of the whole body of the Society. Our State Medical Examining Board has repeatedly confessed its weakness in a successful attack upon prevailing evil practises in the State. It has announced its lack of successful effort on the ground that the profession generally is apathetic and unwilling to take a sincere initiative. The medical law of the State may need revision for the final protection of the profession itself, not to mention the public.

It is the duty of the State Medical Society to frame resolutions and to impress their spirit upon State legislators in order that all moves in the direction of sanitation, public hygiene, morality as it affects the medical side, should be made clear to those who have the authority of the law to promulgate and execute enactments necessary to their control.

The membership of the State Medical Society should include every reputable practitioner in the State, in order that his individual interest may be conserved in the machinery of a large body able to wield clean political force to the end that it may in time demand those things which in the past it has had to beg.

After all of these reasons, and more that might be added, we now urge all members of the State Society to attend the meeting at Alexandria; to encourage the councillors and the executive officers of the Society by their presence at the meeting in order that when the new administration assumes its functions it may begin where their most excellent predecessors have left off with the idea of continuing along the high ideals and purposes which now are emblazoned on the standard of our State body.

The Chaille Jubilee.

It is pleasing to record the fact that the Carnegie Board's recognition of the long services of Prof. Stanford E. Chaille in his association with the University of Louisiana, now the Tulane University of Louisiana, has received the endorsement of educators and of the medical press throughout the country.

It is with all the more reason, then, that we again call attention to the proposed Jubilee exercises which are to take place in New Orleans on the 19th of May. All Alumni of the Tulane Medical Department have been sent a circular announcement, but the profession generally will be interested to know that on this occasion appropriate addresses will be delivered by men qualified to chronicle the relation of Dr. Chaille, not only to medical education, but to sanitation and to the life of citizenship and of the soldier. The JOURNAL anticipates the privilege of reporting the occasion with pleasure and with pride, for so many of our readers have felt the stern and kindly hand of encouragement, praise and criticism of this great teacher that any honor which may be paid to him must be shared by all of us.