«« IMuiin 
o94 
iioL  identical  lonns  of  spleiioiiiegaly  with  liepatic  cirrhosis  occur  butli 
in  the  South  of  Europe  and  in  the  northern  part  of  the  Egyptian 
Delta  . 
We  have  endeavoured  to  ascertain,  hitherto  whth  indefinite  result, 
whether  this  condition  also  exists  in  those  countries  to  the  west  of 
Egypt  forming  the  African  littoral  of  the  IMediterrancan,  and  also  in 
Syria.  It  will  probably  be  found  not  to  be  limited  in  distribution  to 
Egypt,  and  indeed,  may  elsewhere  at  present  be  confused  with,  or 
classified  under,  other  forms  of  splenomegaly,  such  as  that  occasioned 
by  malaria. 
It  is  wdth  the  object  of  emphasising  its  distinct i\c  character,  its 
prevalence  in  Egx'pt,  and  of  draw'ing  the  attention  of  others  at  wwk 
in  the  Near  East  to  the  condition,  that  this  paper  has  been  written. 
PLATES  VIII-XII 
Note.  The  outlines  of  the  viscera  in  the  cases  illustrated  were 
outlined  wdth  aniline  pencil  before  photographing. 
