Although 144 cases of secondary hypertrophic osteo-arthropathy have been reported, only seven of these occurred in children. The following case, therefore, seems worthy of being reported:
REPORT OF CASE
History.
—B. B., aged 11½. There is no history of tuberculosis or syphilis in the family. The parents have been married twenty-two years and have had eight children. The eldest, now 21 years old, is married and has two healthy children. There have been no deaths and the mother has had no miscarriages or stillbirths. None of the other children have had any symptoms pointing to tuberculous or syphilitic disease of the lungs, bones or lymph nodes. The patient was breast fed for one year, began to walk at the age of 1½ years, and had measles at 2 years. She was always weaker than the other children. When she was 7 years old, the mother noticed that she held her