B. A., a girl aged 8 months, was admitted to the White Cross Hospital on Nov. 2, 1933, with the complaint of ill health for several weeks, with inability to use the left arm and swelling in the region of the left shoulder. The temperature was 39 C. (102.2 F.).
Examination revealed a well developed child who weighed 7,200 Gm. and was 72 cm. tall. The skin of the face and body was a little pale, the tongue was wet and the lymph glands were normal. The heart and lungs were normal. Neither the liver nor the spleen was palpable. The unique pathologic change was the swelling in the region of the left shoulder. The area was tender on palpation, although passive movements did not seem to cause pain. In the deeper tissues a little fluctuation was observed. The reactions to the tuberculin and Wassermann tests were negative, and the