Examination showed that the recurrent nerves had been cut and that the man must needs always breathe through the cannula. In point of fact, the W. R., only partially positive at the outset, did not indicate syphilis, and the gonorrhoea was now cured. But though the patient knew these facts, his hypochondria persisted, basing itself upon the suicidal wound. He said that his larynx had been stolen and he wondered why. He said that he had violent crises of suffocation, though there was, as a matter of fact, no difficulty with his breathing. Verdigris, he said, was forming on his cannula. Self-accusations about the suicide developed. On being transferred to his department asylum, he made a suicidal attempt on the trip. Of course the gonorrhoea may have served as a partial factor in the genesis of the case, and his own mental attitude toward the contraction of syphilis may have been another factor. The imitation of chancre. =Case 33.= (PICK, July, 1916.) A married German farmer, 32, was in Prague hospital in 1908 during his period of military service and was then treated by inunction for a local chancre. He was given mercurial injections a year later for rash. In 1912, he had signs of syphilis in the mouth. He was sent home from service in 1913, with ulcers of hand. At the beginning of the war he was found to have ulcers on the knee, legs, and mouth, and was sent home for six months. Again called up in 1915, the ulcers were still in evidence; he got inunctions in a military hospital four months. He was sent to his corps in July and had no relapse until July, 1916, when he was detailed for active service. Thereupon, ulcers began on the left hand and right leg. He reported sick, but was sent nevertheless to the front. In hospital he was found to have several scars about one inch across on each leg, on the dorsum of the left hand, at the right of the left index finger, and elsewhere. These scars were deeply pigmented. _One of them was square!_ There were other recent ulcers that closely resembled tertiary ulcers. The most recent of these ulcers was angular, intensely red, and showed remains of a collapsed vesicle. There was a deep dark scab on the mucous membrane of the left cheek. There is no doubt that these ulcers were produced by some caustic, the nature of which remains unknown. The patient had, however, been able to evade military obligation during peace time and for two years during war time. _Re_ simulation, according to Pick, some 5 to 7 per cent venereal diseases in the German army have been simulations. Gonorrhoea is simulated by soap, balanitis by cantharides, soft chancre by soap and mercuric or mercurous chloride mixed, hard chancre by a fluid or powder containing NaOH, Na_{2}CO, and NaCl. Secondary syphilitic signs are imitated by cantharides or garlic, producing scrotal dermatitis. Tertiaries are imitated with caustics. Ramón to Rosina: a soldier’s letter to his fiancée. =Case 34.= (BUSCAINO and COPPOLA, January, 1916.)