VIII, B, 2 Crowell: Statiis Thymico-lymphaticits 83 



REPORT OF CASES 



In a series of 300 autopsies, there have occurred 20 cases of 

 well-marked grades of this condition as follows : 



Cases. 



Status thymico-lymphaticus 13 



Status lymphaticus 7 



In addition there have been very numerous cases of lesser 

 grades of lymphoid hyperplasia of the various viscera. It may 

 here be stated that the autopsy service which includes these 

 cases is derived from a large general hospital, a hospital for 

 contagious diseases, and the medico-legal cases occurring in the 

 city of Manila, so that all classes of cases are encountered. 



A more detailed examination of these cases follows.' 



I. CASES OF STATUS THYMICO-LYMPHATICUS 



1. (1948.) One case was in a male, 8 years old, whose dura- 

 tion of illness is given as one day, and the clinical diagnosis 

 was undetermined. He had a thymus weighing 27 grams, and 

 hyperplasia of the lymphoid tissue of the pharyngeal ring, 

 spleen, intestine (duodenum, ileum, and colon), and lymphatic 

 glands (mesenteric, femoral, inguinal, and axillary). There 

 were also ecchymoses on the pleura and epicardium, and small 

 external genitalia. 



2. (2000.) One case was in a 30-year-old male who died 

 soon after partial thyroidectomy performed under local anaes- 

 thesia for the relief of symptoms of Basedow's disease. He had 

 a 40-gram thymus and hyperplasia of the lymphoid tissue of the 

 pharyngeal ring and intestine (ileum and colon). 



3. (2011.) A 10-year-old boy died as the result of an automo- 

 bile accident which caused extensive fractures of the skull. He 

 had a 26-gram thymus and hyperplasia of the lymphoid tissue 

 of the pharyngeal ring, oesophagus, stomach, intestine (duo- 

 denum, ileum, and colon), and the cervical and mesenteric lym- 

 phatic glands. The adrenals were hypoplastic, and there were 

 ecchymoses on the pleura and epicardium. 



4. (1979.) A 12-year-old boy died from drowning. He had a 

 37-gram thymus and hyperplasia of the lymphoid tissue of 

 the pharyngeal ring, spleen, intestine (duodenum, ileum, and 

 colon), mesenteric, inguinal, and axillary lymphatic glands. 



^ Cultures from the viscera of the cases were sterile unless otherwise 

 stated. 



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