Old gouty subjects are often of sallow or parchment-like complexion. The _blood_ in these cases of polyarticular gout conforms in attenuated degree, in the matter of leucocytosis and secondary anæmia, to that observed in the more _acute_ types, as witness the following blood pictures. All were males, the subjects of chronic articular gout of many years’ standing. They all exhibited _tophi_, which were verified microscopically. The examinations were conducted during the inter-paroxysmal periods. (1) BLOOD COUNT. Red corpuscles, per c. mm. 4,832,000 = 96·6 per cent. Hæmoglobin = 64 ” Colour index = ·66 ” Leucocytes, per c. mm. 11,000 DIFFERENTIAL COUNT. Lymphocytes 42 = 4,620 Large mononuclears 4 = 440 Polymorphonuclears 52·5 = 5,775 Eosinophils 0 = 0 Mast cells 1·5 = 165 (2) BLOOD COUNT. Red corpuscles, per c. mm. 5,040,000 = 100·8 per cent. Hæmoglobin = 72 ” Colour index = 0·72 ” Leucocytes, per c. mm. 13,400 DIFFERENTIAL COUNT. Lymphocytes 15 = 2,010 Large mononuclears 2·5 = 335 Polymorphonuclears 78 = 10,452 Eosinophils 1 = 134 Mast cells 3·5 = 469 (3) BLOOD COUNT. Red corpuscles, per c. mm. 4,280,000 = 85·6 per cent. Hæmoglobin = 66 ” Colour index = 0·77 ” Leucocytes, per c. mm. 12,000 DIFFERENTIAL COUNT. Lymphocytes 23 = 2,760 Large mononuclears 3 = 360 Polymorphonuclears 74 = 8,880 Eosinophils 0 = 0 Mast cells 0 = 0 In these chronic forms, save during exacerbations, there may be little or no febrile movement, and local pain, heat, and redness may be slight or wholly lacking. But the articular swellings never wholly disappear, and the mobility of the joints is never entirely regained. The articulations, few or many, become stiff, ankylosed, and deformed, by the growth of _tophaceous deposits_. But to detailed description of these latter we shall return later.