This case is reported because of the unusual blood findings, no duplicate of which I have ever seen described. Whether the blood picture represents merely a freakish poikilocytosis or is dependent on some peculiar physical or chemical condition of the blood, or is characteristic of some particular disease, I cannot at present answer. I report some details that may seem non-essential, thinking that if a similar blood condition is found in some other case a comparison of clinical conditions may help in solving the problem.
—The patient was an intelligent negro of 20, who had been in the United States three months, during which time he was a student in one of the professional schools in Chicago. His former residence had been Grenada, West Indies, where he had been born and brought up, one of a family of four children, all living, and all well with the