MULTIPLE PERIOSTEAL SARCOMATA OF THE CRANIUMWITH INVOLVEMENT OF RETROPERITONEAL LYMPH NODES, AND ATTENDING SEVERE, PROBABLY PERNICIOUS, ANEMIA.

Abstract

Through the exhaustive work of Warthin the retroperitoneal lymph nodes or hemolymph glands have been given an important rele in human pathology. Changes in these hitherto frequently unrecognized structures are specially significant of anemia and processes accompanied by hemolysis. I feel that the case, a description of which I wish to submit, illustrates this relationship in a special way, and offers a few additional points of pathologic interest as to warrant its being presented before this section. The case occurred in the practice of Dr. C. B. Kimball of West Liberty, Iowa, to whom I feel indebted for calling my attention to it and furnishing me with the principal clinical data, which in brief were as follows: A. B., girl 5 years of age, who until three months before her death enjoyed good health and had been regarded as an unusually robust child. When first seen