. Contributions from the Department of Neurology and the Laboratory of Neuropathology (reprints). on had takenplace. 3. Induration. There is an absence of elasticityand organization has advanced to the stage at which asubstance of cartilaginous consistency presents itself tothe examiner. The older these thickenings are the firmerthey have become and the more resistance they offer totreatment. These indurations appear again and again for some timebefore becoming chronic, and they are by no means 4. Mitrholl : Ri-lalion nf Neurnlgic Hoadache to Storms, Tr. Philadelphia, 1003, xxv, 71
. Contributions from the Department of Neurology and the Laboratory of Neuropathology (reprints). on had takenplace. 3. Induration. There is an absence of elasticityand organization has advanced to the stage at which asubstance of cartilaginous consistency presents itself tothe examiner. The older these thickenings are the firmerthey have become and the more resistance they offer totreatment. These indurations appear again and again for some timebefore becoming chronic, and they are by no means 4. Mitrholl : Ri-lalion nf Neurnlgic Hoadache to Storms, Tr. Philadelphia, 1003, xxv, 71. confined to the head and neck. Other haunts of thisinsidious invader are the points where the gracilis,, sar-torius and semitendiuosus muscles cross the inner sideof the knee, at the inner and outer aspects of the ankle,at the insertions of the pectoralis major and latissimusdorsi into the Immerus, tlie muscles of the abdominalwall where there are occasionally found little noduleswhich feel like small grains of shot,, and which give riseto sharp pain on slight movenient. In one obscure case. if ). of this kind the patient was suspected of having appen-dicitis. So-called cases of sciatica have ceased after theremoval of these infiltrations around the gluteal andsacral regions. Deafness has been produced liy tliepressure of these .swellings on the Eustachian tubes, andliearing has been restored after appropriate far the most frequent site of these accumulations isin the muscles of the head and neck, and T believe thatthis is due to the fact that this is a much exposed part of the body. ^e are probably the c^iiefcause of the so-called rheumatie throat, but I do notbelieve any of conditions are due to gout, for aparoxysm of gout, sucli as frequently involves the meta-tarsophalangeal articulation of the great toe, gives riseto marked redness and fever. An attack of lumbagodoes, however, present a strikingly similar picture
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