VIII, B, 2 Croivell: Status ThyTnico-lymphaticus 87 



heart once (19), of the thyroid once (15), and of the external 

 genitals once. Careful measurements of the heart and aorta 

 were not made in all cases, and these figures probably do not 

 represent the true state of affairs. This question will be more 

 carefully investigated at another time, but my opinion is that 

 the size of the aorta was below normal in the majority of these 

 cases. 



10. The duration of illness was brief in all but 4 cases (6, 

 18, 19, 20). 



It is not proved nor believed that the lymphatic constitution 

 is of greater frequence among Filipinos than among other races, 

 but it is desired to draw attention to its occurrence and to the 

 importance of its recognition. In children its manifestations are 

 the same as in other races ; on the other hand, in a large number 

 of adults of the Oriental races the growth and distribution of 

 the hair differs so essentially from that in Caucasian races that 

 the same importance cannot be attached to this point in diagnosis 

 as is given it by those whose investigations do not include Orien- 

 tals. I refer to the almost complete absence of beard, mustache, 

 axillary and thoracic hair, and that on the extremities which is 

 common among Orientals. Also, in tropical climates where acute 

 and chronic infections of the skin of the lower extremities are 

 so frequent on account of the custom of the natives of going 

 barefooted, enlargement of the femoral and inguinal glands of 

 inflammatory origin is very frequent, and enlargements of this 

 type should not lead to the diagnosis of the lymphatic constitu- 

 tion. However, during the recent period of activity of the 

 Bureau of Health of Manila in causing investigation of all cases 

 of death with enlarged superficial lymphatic glands as one means 

 of detecting cases of bubonic plague, several of the cases of the 

 present series were encountered. I am also informed by workers 

 in the Bureau of Health that several cases were encountered 

 clinically with enlarged femoral or inguinal glands in which 

 there was a brief period of hyperpyrexia of unexplained origin, 

 the enlargement of the glands persisting after the subsidence 

 of the fever. Such cases were sometimes referred to as cases 

 of "glandular fever," and it seems not impossible that some of 

 these cases may come within the category under consideration. 

 This seems more probable in view of the recognized suscep- 

 tibility of individuals of the lymphatic constitution to slight 

 infections. 



From another standpoint, the recognition of the lymphatic 

 constitution is of importance among Filipinos ; that is, on account 



