169.
M. TROUSSEAU, Gazette des Hôpitaux, 1856, p. 365.

Male, 30, coach-man.

Had enjoyed good health. Illness five months.

Gradual emaciation, loss of strength, dislike to meat; occasional pain in loins; later a shivering fit followed by copious diarrhœa; coldness of surface and delirium. Death from rapid sinking.

Bistre discoloration first on face and hands; axillæ, penis and scrotum, especially dark; interior of lips as black as a dog’s.

Left capsule much enlarged and almost entirely changed into heteromorphous product. Numerous tuberculous masses in both capsules.

Some old tubercle in apices of lungs; scattered tubercles in kidneys; other organs healthy.

170.
Dr. L. MARTINEAU, “De la Maladie d’Addison,” p. 65, Professor SEITZ, Munich.

Female, 47.

Good health, but given to drinking. Illness nine months.

Loss of flesh, indigestion, vomitings and chronic catarrh of stomach; later debility, profuse sweatings, hectic fever and death.

Dark yellow-brown discoloration on head and neck; less marked on body.

Both of the size of walnuts, hard and homogeneous, consisting of yellow tuberculous matter in process of degeneration.

Scattered tubercles in lungs; small tubercular deposits in spleen and on peritoneum of stomach; liver fatty.

171.
Prof. Dr. BUHL, Wiener Med. Wochenschrift, 1860, p. 20.

Male, 28.

None given.

Excessive emaciation and exhaustion. Death from gradual sinking.

Grey-brown discoloration of face and neck; well-marked on hands and feet, gradually fading away towards arms and ankles; genital organs dark; sides of tongue stained from root to tip with black-brown patches.

Both enlarged, and containing tough yellow cheesy masses, identical in character under the microscope with the so-called miliary tubercles in lungs, liver and spleen.

Apices of lungs, liver, and spleen, studded with miliary tubercles; lymphatic glands throughout the body enlarged, with yellow cheesy material towards their centres; lungs infiltrated with black pigment; spleen greatly enlarged.