ADRENAL HYPOFUNCTION 159 



given, and in thirty days she was free of asthma. She 

 later became pregnant, was delivered under anesthetic 

 at term, and her asthma returned. 



The other case was Mrs. J. H. R., age 23, in 1913 had 

 tonsilitis and bronchitis, followed in two weeks by 

 swelling of the feet and ankles, which progressed until 

 the entire body was swollen. Hypothyroidism was diag- 

 nosed and one and one half grains of thyroid were 

 given daily. In nineteen days all swelling was gone 

 and albumin and casts had disappeared from urine. 

 Thyroid feeding was stopped. Since that time to date, 

 there has been no return, even though in December, 

 1918, she had "flu," and also was delivered, under anes- 

 thetic, of a normal male child. 



SUBACUTE FORMS OF ADRENAL INSUFFICIENCY 



Among the subacute cases, we find those following 

 severe illness associated with fever, such as typhoid, in- 

 fluenza, pneumonia, etc., also anesthesia, alcoholism, 

 prolonged worry (which, in fact, is really excessive 

 mental work), focal infections and intoxications. A 

 recent case will serve to illustrate the pronounced adre- 

 nal depression which may be caused by worry. Mrs. 

 E. J. W. had been feeling very dizzy and weak for ten 

 days. She complained of her head feeling queer. Sys- 

 tolic blood pressure 100 mm. erect; 128 recumbent. 

 Urine and physical examination negative. Adrenalin 

 chloride solution, 1:1000, ten drops every two and one 

 half hours, was given by month. Next day, July 14th, 

 1920, erect systolic pressure 110 ; recumbent 120 ; July 

 15th, 1920, erect systolic pressure 116, recumbent 116, 

 and she said she felt fine. I then found out that she 

 thought she had had lues years ago. When the hot 

 weather started she always felt badly, but, heretofore, 

 only for a few days. This ill feeling lasted so long, in 

 spite of catharsis, etc., that she began to worry for 

 fear the old disease was attacking her brain. The 



