Abstract
I trust that the fact of this paper's being partly the narrative of one patient's history may not detract from its interest. This patient, a physician and an intimate friend of mine, aged 55, has suffered from various skin diseases ever since arriving at maturity. I am well aware that American dermatologists, as a rule, are decidedly skeptical as' to any possible etiologic connection between the so-called acid diathesis, l'arthritisme of the French authors, and skin diseases, and I do not claim that there is any such connection in this case; but the patient's history corresponds exactly with the French idea of arthritisme. The condition in question is evidenced by very acid saliva, early and rapid tooth decay, very acid urine, a tendency to rheumatic and neuralgic pains, and frequent, long continued attacks of neuritis in the fingers and thumbs of both hands. The patient's teeth began to decay badly
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