“In reply to your letter of December 3, 1918, I wish to say that my boy at the present time is in fairly good health, and there are no eruptions on his body and with each succeeding year the effect seems to be gradually dying away. The summer of 1917 he broke out in eruption quite bad, especially on the legs, being most severe on the thighs, and also in the summer of 1918, but not near so bad as in the preceding summer. He is free of any eruption at the present time, but the upper part of his body and especially his arms are covered with a large amount of brown spots on the skin where the eruptions have completely died away, but I think that with each succeeding year, as he grows stronger, the effect will entirely disappear, with the exception of the brown spots on the skin, which I suppose will always remain and for which there can be no remedy.” ANOTHER BAD CASE OF VIRULENT COWPOX FROM U. S. NAVAL RECORDS To show how really frequent, common and wide-spread these fearful cases of “pemphigus,” “foot and mouth disease” or virulent cowpox, are, as a result of vaccination, I can cite another well authenticated case of this kind, reported in U. S. Naval Records. This case is reported in the _U. S. Naval Medical Bulletin_ for October, 1911, Vol. 5, No. 4, on page 482--under the heading of “Acute Pemphigus Following Vaccination.” This article minutely describes the case of a negro carpenter, age sixty, employed at one of the U. S. Naval Stations, and vaccinated there, June 9, 1910. About July 9, 1910, an eruption of vesicles appeared first on the vaccinated arm and in a few days spread all over the body. This eruption was exactly similar to that in the cases already described, viz.: vesicles of various sizes which came out in successive crops and on the same parts of the body as in the other cases. And as these vesicles increased they ran together into large confluent blisters which finally broke and formed denuded scars or raw sores on the skin like scalds or burns. To show that the action on the skin and in the mouth and throat was identical with the other cases here described, I need only quote a few lines from the official article itself, as follows: “The body and extremities in many places resembled a severe burn or scald, being covered with large denuded red areas, surrounded by blebs of various sizes.... Toward the end of the first week several blebs developed in the mouth, one small one on the tongue, and one large one on the side of the pharynx. The latter when it burst ‘_nearly drowned him_,’ according to his wife.” The patient finally recovered, like the case in Fig. 12, after several successive eruptions and in about four months after vaccination, or in October, 1910, and much to the surprise of the doctors, owing to the severity of the case and the age of the patient.