Spontaneous hypoglycemia is being reported with increasing frequency. The subject was recently reviewed by Gammon and Tenery.1 The record of a patient who has been under observation for one year follows.
REPORT OF A CASE
History.
—A youth, aged 19, a student, was admitted in a state of coma to the Los Angeles County General Hospital on Sept. 8, 1930. For eighteen months prior to admission he had had spells of weakness, headache, trembling and mental confusion occurring at about noon. These the patient attributed to waiting until 1 o'clock for his midday meal. Eating relieved the symptoms. During the eighteen months the patient's weight had increased from 128 to 141 pounds (58 to 64 Kg.). He had not engaged in athletics for one year, because excessive perspiration and a feeling of weakness readily developed on exertion. On September 2, he complained that his mind was a "blank." Three days