To the Editor:— J. F. Madden of the University of Minnesota Medical School, in his paper on Generalized Angiomatosis (The Journal, February 10, p. 442), erroneously states that hemorrhagic telangiectasia was first reported by Sutton, in 1864, as internal hemorrhages and telangiectasia of the skin.... Erasmus Wilson, in 1869, called the condition eruptive angiomas. Chiari, in 1883, regarded it as a hemophilia of slight degree; Rendu, in 1896, as juvenile hereditary epistaxis associated with multiple hemorrhagic telangiectasias of the skin and mucous membranes; Ullman, in 1900, as angiomatosis. Since H. Gawen Sutton of the Metropolitan Free Hospital published his paper on Epistaxis ( M. Mirror , London 1: 769-781 [Dec.] 1864), I was the first to refer to his work in my publications. Sutton discussed the relation of rheumatic fever and tuberculosis to epistaxis and the connection between epistaxis and hemoptysis. He mentions cases of familial hemoptysis and familial epistaxis. But