The case reported in this paper was one of Hutchinson's tumor of the left suprarenal medulla with metastases to the skull and sacrum.
History.—A boy, aged 3 years, was admitted to the hospital in January, with the complaint of paralysis of the face and a tumor in the abdomen. The family history was unimportant. It was noted that the child had never been in good health, had not eaten or gained weight normally, and had never slept soundly; the appetite had been poor during the last four or five months.
In the November preceding hospitalization there had been a severe gastrointestinal upset, with nausea and vomiting for two days; obstinate constipation had persisted for a week. Two days later, the child burned his lip with hot cereal, and the mother first noticed paralysis of the left side of the face. Shortly after this, there was considerable edema of the