of epithelium. The diameter of the individual tumours 
vaned from two to ten millimetres. About twenty of these 
tumours were found on the right forearm from the elbow down 
(PI. XV, fig. 9 ), three on In's face, one on the forehead 
and two in the angle of the nose. He had consulted Dr. 
Scheuber, a dermatologist in Cairo, who first thought it might be 
a case of leprosy, and who sent the patient to me for 
bacteriological examination. The research for leprosy bacilli was, 
however, negative; but I found the Leishman-Wright bodies in 
smears as well as in sections of an excised tumour. The 
parasites were situated in big mononucular cells (macrophages; 
which were abundant in the stratum just underneath the 
epithelium. 
The same dermatologist brought, a few months later, some 
slides and an excised tumour to Dr. Dreyer, telling him that they 
had been taken from a Roumanian lady who had lived in Cairo for 
several years, and who was suffering from a similar affection on the 
lace and neck. The size of the tumour was, however, bigger. Her 
sister was said to suffer from the same affection. Dr. Dreyer found 
a good many Leishman-Wright bodies in cells of the same type as 
in the case of Dr. Bitter. 
(Pi C ‘xv V 7 N ° te ° f a case by Captain M • F - White, lMS * 
. ’ 1 he papules were first noticed in February, 
9. Jn ushiie (I cisian Gulf), where cases were scarce at the time, 
° nC ° 1Europeans bein k r affected. Had been in Baghdad two 
months previously. 
takelof the spots™ Thet™ “ Fe P uary and not much notice was 
on the Hnrc P / r Ly consistcd of a group of five small spots 
S. a i“ ers d further T about an “ ch 
-LTLSirL mth a 
area of the fi ’ d “ S ° me ' de P re ssed in others. The whole 
gave rise to no" *** *“ S . lightly ™ Sed a " d Earned. Th '> 
occasionally aftefTfoTtath th’ “ tr ° Ub ‘ e Whats ° ever ’ exce P l llia ‘ 
became slio-htl tlp - v Save rise to slight tingling and 
sign , ( t SW ° 1,e " “ d -d. Otherw.se they have Lwn no 
ygry of increasing or decreasing, and at the present time, fourteen 
a ' ld t0 tlu ' l| tllors for permission to inehidVit jE a £^ in Wbite for his note and photograph, 
c 11 ,n Uus paper.—E ds. 
