TREATMENT OF PERNICIOUS ANEMIA 259 
sion at Rochester, Minn., several times, with no benefit 
seeming to follow. Hemoglobin was 26 per cent., red 
cells 1,150,000, and white cells 2,000. He arrived in 
Denver unconscious, and shortly after had a severe at- 
tack of dysentery. He was transfused twice, and the 
treatment, in a general way, as outlined, was begun. 
There was marked improvement in one month. At that 
time the hemoglobin was 55 per cent., the red cells 
2,270,000, and the white cells 6,000. He is now eating 
heartily and digesting his food satisfactorily and is still 
under treatment. 
Mrs. H., aged 39. Had typhoid fever at twelve years, 
appendicitis at fifteen, and was never strong thereafter. 
In 1918 she suffered from influenza and since that time 
a condition diagnosed as pernicious anemia has been 
steadily developed. At present the hemoglobin is 24 per 
cent., the red cells 2,700,000, and the white cells 3,000. 
The improvement since treatment has been steady, and 
she is now able to do much of her own housework with 
no relapses to date. 
Mr. A., 31 years old. Suffered from a constant cough 
with free expectoration. Wassermann test negative. 
Had suffered from jaundice four different times, and at 
present the urine contained bile. The amount of 
urinary solids was three times the normal and of uric 
acid, five times the normal. There was a large mass 
over the stomach, vomiting and diarrhea. The hemo- 
clobin was 25 per cent., red cells only 1,000,000, and 
the white cells 6,800. Microscopic examination 
showed marked irregularity as to size and shape of the 
red cells. The lees were swollen to above the knees and 
the man was able to walk only a few steps, and suffered 
from extreme dyspnea. Before the laboratory test was 
finished he became delirious. Seven hundred and fifty 
mils. of blood were transfused from group four. He 
regained his mind and activity somewhat. After the 
use of Mixed Infection Phylacogen he again became 
delirious and the temperature rose to 103, nulse 140. 
He was transfused again the fifth day for the second 
time, at this time he was in a muttering delirium and 
fought the transfusion. Began the administration of 
30 grs. of potassium iodide and soon increased the 
amount to 60 grs., four times a day, continuing the 
Mixed Infection Phylacogen and increasing the dose to 
