Acute myelogenous leukemia occurring prior to the age of 4 years is unusual. Noma, once quite common, is now a clinical curiosity. Generalized acute streptococcic dermatitis, formerly known as "hospital pemphigus," occurs infrequently. To find all three of these unusual but interesting conditions combined in one case seems to justify a report.
REPORT OF A CASE
History.—A Negro boy 3 years of age was admitted to the University Hospital because of "sore mouth."When 9 weeks of age the child was brought to the university dispensary because of persistent coryza. Conservative treatment soon restored him to health. Periodic examinations indicated that he had had a normal development.Three weeks before his admission to the hospital the child's mother noticed that both his ankles were swollen and edematous and that he walked with a peculiar limping gait. Examination revealed large, inflamed tonsils, diffuse bilateral cervical adenopathy and an inflammatory periarticular