“We must grant, I think, in the light of the history of these cases and what we know of other similar cases, that they are the direct or indirect result of vaccination. While we hear a good deal, _pro_ and _con_, about vaccination, of its injurious results on the part of those who are opposed to it, and of its value on the part of those who favor it, I have always felt that those who are opposed to vaccination, or, rather, those who have brought forward the possible ill effects of vaccination, did not in some instances have a fair hearing. I, myself, have seen cases at least similar to the ones reported by Dr. Howe, as well as others, where the local and constitutional manifestations were undoubtedly the result of vaccination.” Dr. Howe seemed to be somewhat mystified by the disease and at a loss for the best or most proper technical name for it, and on this head he stated as follows: “On the other hand, it might seem more proper to call them, perhaps, cases of pemphigus. Quoting Duhring in regard to pemphigus, I will refer to the following: ‘The mucous membranes of the mouth, pharynx, epiglottis, trachea, bronchi and even of the alimentary canal are not infrequently invaded, especially in the varieties _malignus_ and _vegetanus_, giving rise to various local lesions, mostly whitish patches and excoriations. In grave cases there are pain and difficulty in breathing and swallowing, diarrhea, exhaustion, collapse, and a fatal ending.’ These cases of mine certainly showed all these symptoms.” In answer to this point, Dr. Duhring then said: “I think Dr. Howe has acted wisely in selecting the title he has and connecting it with vaccination, because it is to that point that we wish to call attention, namely, that instances of bullous dermatitis, often severe and even running a fatal course, do at times follow vaccination. ... That it is closely allied to what is known as semi-malignant or malignant pemphigus; I think probable, but whether we call it bullous dermatitis from vaccination, or pemphigus from vaccination, or malignant pemphigus, matters very little at the present period.”[5] I think we can all readily agree with this conclusion of the doctors, that it does not matter much what we call this horrible disease caused by vaccination, whether it is “Pemphigus,” “Foot and Mouth Disease” or “Virulent Cowpox,” all of which seem to be fit and proper names, the main point being that this deadly infection is frequently contained in and conveyed by vaccine virus in the operation of vaccination.