Abstract
Mamie R., 7 years old. Premature at 6% months, raised in an incubator and fed on malted milk. Teething was normal. She walked at 13 months, but was always a tiny baby. She was never sick during childhood, but was always delicate. On March 3, 1914, she was taken with an attack of scarlet fever, so mild that it would have been overlooked, but for the fact that another more marked case appeared in the same family. All during the attack she passed but little urine, an average of 1½ ounces daily. On March 23 she came under my care. Physical examination at that time was negative; there was no edema nor symptoms of any description except the scanty urine. Mentally she was very bright, and continued so throughout the time reported on. The child was very thin and it was possible to palpate the entire abdomen thoroughly. The following
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