Case XXV (7).—History.
—M. M., a native of Croatia, entered the Cook County Hospital May 27, 1908, to the service of Dr. Elliot. He spoke no English and a history was obtained with difficulty. His illness began one year ago with a cough and profuse expectoration which became gradually worse and was associated with considerable loss in weight. Three weeks before entering the hospital a swelling with pain and tenderness appeared in the left arm followed by a swelling of the forearm and hand. A week later ulcers developed in the skin of the face and other parts of the body and progressed quite rapidty. The family history was unimportant. The patient had experienced no serious illness and no venereal infection. He had been a farmer but after coming to this country a year ago he worked as a laborer on a railway. For the previous three months he was