tion or some antiseptic wash, as the case would indicate. I have used peroxide of hydrogen, sometimes clear, more frequently diluted. Nasal syringing is contra-indicated unless there is a purulent discharge from the nostrils. Adenitis is best treated in the early stages by ice; in advanced stages poultices and cloths wrung out of hot water seem to give most relief if properly applied. Stimulants are required in the severe and malignant type. Whiskey, strychnine, tincture of digitalis and occasionally nitroglycerine, are drugs of the highest importance, but should be given with care and discretion. Fever is best controlled by hydro-therapeutics. Sponging the surface with tepid, cold or even ice-water, if there is hyperprexia, is the only proper way to reduce it. In the stage of desquamation carbolized vaseline, preceded by a sponging, gives relief. Complications should be treated as they arise. MULTIPLE SEBACEOUS CYSTS OF THE REPORT OF A CASE. BY DR. B. J. WETHERBY, WILKES-BARRE, PA. READ OCTOBER 7, 1903. The patient was a miner, aged about forty, married, and the father of several chindren. He denies ever having had any venereal disease. Twenty years ago he noticed a small lump in the skin of his scrotum. This slowly grew larger, and after a time. others appeared, until the scrotum was in the condition shown by the photograph, which I had taken early this year. There had never been any pain or tenderness connected with the growths. In color they resembled coral, with white spots here and there, which is nicely shown in the photograph. tion or some antiseptic wash, as the case would indicate. I have used peroxide of hydrogen, sometimes clear, more frequently diluted. Nasal syringing is contra-indicated unless there is a purulent discharge from the nostrils. Adenitis is best treated in the early stages by ice; in advanced stages poultices and cloths wrung out of hot water seem to give most relief if properly applied. Stimulants are required in the severe and malignant type. Whiskey, strychnine, tincture of digitalis and occasionally nitroglycerine, are drugs of the highest importance, but should be given with care and discretion. Fever is best controlled by hydro-therapeutics. Sponging the surface with tepid, cold or even ice-water, if there is hyperprexia, is the only proper way to reduce it. In the stage of desquamation carbolized vaseline, preceded by a sponging, gives relief. Complications should be treated as they arise. MULTIPLE SEBACEOUS CYSTS OF THE REPORT OF A CASE. BY DR. B. J. WETHERBY, WILKES-BARRE, PA. READ OCTOBER 7, 1903. The patient was a miner, aged about forty, married, and the father of several chindren. He denies ever having had any venereal disease. Twenty years ago he noticed a small lump in the skin of his scrotum. This slowly grew larger, and after a time others appeared, until the scrotum was in the condition shown by the photograph, which I had taken early this year. There had never been any pain or tenderness connected with the growths. In color they resembled coral, with white spots here and there, which is nicely shown in the photograph. The patient complained of irritation of the neck of the bladder, together with dull pain in the groins and over the sacrum. Otherwise he enjoyed splendid health. Thinking his pains might be due to the great weight of the scrotum, I removed the growths about three months ago. I succeeded on the right side, in excising the wide strip of skin containing the cysts without opening the tunica vaginalis; but on the left side the cysts extended down into the tunic in the upper part, so I cut out a strip of it also, laying bare the testicle on that side. It healed by first intention throughout, and in two weeks he walked into my office, the stitches having been removed a few days before by his family physician. The pains in the sacrum and groins have already disappeared, but the irritation at the neck of the bladder is little, if any, better. The case is a little unusual on account of the large number of the cysts together with their location. I showed the photograph to Professor Horwitz, who told me he had seen but three cases in his entire practice, and only one in which there were so many and such large tumors. SYPHILITIC BRAIN AFFECTIONS. BY DR. BOYD DODSON, WILKES-BARRE, PA. Mr. President and fellow members: I have not found any definition for syphilis which is entirely satisfactory, for the reason that its nature or causation is not positively known, although it is reasonably certain a microorganism. The history of syphilitic brain affections is the history of syphilis; its origin is the primary inoculation; it is but a symptom of the advanced stage of syphilitic infection. Syphilis pursuing its regular course attacks the skin and |