HEMOGLOBINURIA IN HEMOLYTIC JAUNDICE

Abstract

My purpose in presenting this paper is to supplement the evidence in favor of the occasional occurrence of spontaneous hemoglobinuria in hemolytic jaundice. Three cases of this type in which the diagnosis of hemolytic jaundice is well established and an occasional case of questionable diagnosis have been reported in German and French. However, I have been unable to find a case reported in the English literature. In view of the rarity of the condition and the interesting phenomena which are associated with the mechanism of hemolysis, the case which I shall report is of more than ordinary interest. REPORT OF CASE History. —Mrs. A. F. (Case A 3S4493), an extremely pale, somewhat jaundiced, short, stout woman, aged 32 years, presented herself for examination in April, 1921. She had enjoyed unusually good health until she had suffered a moderately severe attack of influenza three and one-half years before. Convalescence had been protracted