Gummata of the thyroid gland are so seldom discovered that it seems justifiable to review the literature on the subject while making this report. I shall, therefore, recapitulate as much of the data bearing on such lesions as it has been possible to gather, before proceeding to the discussion of the case in hand.
PREVIOUSLY REPORTED CASES
Demme1 (1879) reports three cases of syphilis of the thyroid in children in which gummatous nodules appeared in the thyroid glands concomitantly with syphilitic lesions of the viscera. He says that these gummata appear as grayish-red or grayish-yellow nodules, sharply rounded and, like malignant or tuberculous growths of these organs, destroy the parenchyma. The microscopic findings agree with those of gummata of the liver. In another place1 he says :In the course of congenital, hereditary syphilis, we find a few cases, and in my experience only in children, in which, accompanying