Abstract
THE patient, a boy 19 years of age, entered the Memorial Mospital under the service of Doctors McGuire and Peple. He was tall, thin and ill-looking, and had been doing farm work. No surgical condition could be found. The present trouble began about fourteen months ago. His family history revealed that his father was normal but that his mother died of abscess of the breast and had a nervous temperament, and that her people were also nervous. He has one brother that is frail, possibly tuberculous. Examination on admission showed his nourishment was poor, he had lost twenty-five pounds in flesh and he was very weak. Perspiration was scant. He complained of vague subjective pains and sensations, none of which were typical of any particular thing. His reflexes were negative, except that the deep reflexes were somewhat diminished. There was no hand tremor and his pupillary reactions to light seemed sluggish.
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