Up to the present time, thirty cases of mycetoma have been reported in America, a very large percentage of which have been observed in immigrants. This disease is not infrequently found in Europe and is most common in India and in the tropics. Of the thirty cases of mycetoma reported in America, only one has thus far been of the melanoid variety; all others have been of the ochroid type. The melanoid case, reported by Wright,1 was observed in an Italian woman who had lived for several years in this country.
I had the privilege of studying the case of mycetoma that I shall report, at the Brooklyn Hospital, through the courtesy of Dr. Nathan T. Beers.
William Randolph, an American negro, aged 56, presented himself at the skin clinic of the Brooklyn Hospital on Oct. 13, 1926, because of a condition of his left foot which had been