86 The Philippine Journal of Science ims 



aorta, hyperplasia of the lymphoid tissue of the pharyngeal ring 

 and spleen, and hypoplasia of one adrenal. 



19. (1522.) A 4 1 -month-old female, who was ill a month with 

 what was diagnosed infantile beriberi, had slight lobular pneu- 

 monia, congestion of the kidneys, a 5-gram thymus, anomalous 

 lobulation of one lung, and hyperplasia of the lymphoid tissue 

 of the spleen, intestine, and mesenteric lymphatic glands. 



20. (1275.) An 18-year-old female, who was said to have been 

 ill two weeks and whose record does not show the manner of 

 death, had a "small" thymus, hypoplasia of the heart, aorta, 

 and adrenals, hyperplasia of the lymphoid tissue of the pharyn- 

 geal ring, spleen, and mesenteric lymphatic glands, a calcific 

 nodule on the pleura, localized atheroma of the aorta, pulmonary 

 congestion, and oedema and parenchymatous degeneration of the 

 kidneys. 



Analyses of these cases shows the following features of 

 interest : 



1. In 3 cases (1, 16, 20) no essential lesions were found save 

 those of status thymico-lymphaticus. 



2. The condition was encountered in 3 cases (3, 4, 17) of 

 accidental death. 



3. In 7 cases (6, 8, 11, 13, 14, 15, 19) the other anatomical 

 lesions which should be considered as contributing factors to the 

 cause of death were slight. 



4. In 4 cases (5, 7, 9, 12) there were definite anatomical le- 

 sions suflftcient to cause death, which were evidently unrelated 

 to status lymphaticus and on which the lymphoid hyperplasia 

 could scarcely be considered dependent. 



5. In 2 cases (2, 18) there were definite anatomical lesions in 

 other ductless glands, and in 1 case (10) there was a definite 

 disease due to metabolic disturbance. 



6. The cases occurred between the ages of 1 and 30 years, 

 14 being below the age of puberty. 



7. In 6 cases (1, 3, 4, 5, 8, 16) there were encountered ecchy- 

 moses on serous surfaces, and in 2 cases (8, 16) on mucous 

 surfaces such as are found in beriberi ; and doubtless had the 

 records been more complete, the number of these would be 

 greater. 



8. The distribution of the lymphoid hyperplasia is not constant, 

 different organs being affected in various grades in the different 

 cases. 



9. There occurred definitely recognizable hypoplasia of the 

 adrenals 4 times (3, 4, 18, 19) , of the aorta twice (18, 19) , of the 



