i6i 
Pathological Report (A.R.F.) 
The skin over the central portion of the lesion shows only slight 
thickening. There is beneath a dense, almost homogeneous 
mononuclear cell-infiltration ; in two places, degenerated foci occur, 
in which numerous remains of cell nuclei are visible, but no bacteiia. 
Films were not made from this case, but the characteristic parasite 
was found in sections, though not plentifully, in the laiger 
mononuclear cells of the subcutaneous infiltration. 
Case X. A student of the School of Law was admitted under 
Mr. Richards, with a patch on the cheek immediately below the 
left eyelid, measuring one inch by five-eighths. Flat, soft, pink, 
smooth surface, covered by thin unbroken skin. The skin around 
was quite healthy. It had been present for the last four months, 
and had gradually increased in size. 
It was excised by Dr. Aly Bey Ibrahim. 
Pathological Report (A.R.F.) 
The specimen, as received, was incised by parallel sections, and 
placed in Formol-methyl-alcohol ; microscopical sections being 
stained with Haem-alum and Eosin and also by Giemsa. 
The skin over the lesion was much reduced in thickness, te 
majority of the Malpighian papillae having disappeared. 1 ie 
roots of hairs and sweat glands had also laigcly disappeare 
an exceedingly dense cell-infiltration, which penetrated the 
for some distance. T his, on examination with higher powers, 
found almost exclusively mononuclear in chaiacter, the majori y 
the cells being of small size. Paler areas of largci mononuc ea 
elements, however, were present as rather definite nodu es 
midst of the small-celled infiltration. These were found &Ue 
with enormous numbers of parasites, very few occuiring ou s 
cells. They were not so plentiful immediately under the s in. 
Case XL Note by Dr. Bitter , October , 1908. The case 
that of a native officer of the Egyptian Army in Cair °, 
who had never been out of Egypt. He had small "mated 
tumours, elevated about two to three millimetres, w 
not ulcerated and covered with dry, whitish-coloured scabs 
