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- 

 globin 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 legs 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, pulse 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 



