A Contribution to Our Knowledge of the Naevo-Xantho-Endotheliomata

COXQEXITAL or juvenile xanthoma is of suffcient rarity, added to which are the various opinions as to its nature and origin, to justify a brief review of the yeported cases with a special description of five.Clinically, the condition closely resembles Urticaria pigmentosa tuberosa, and many of the published cases are undoubted examples of this disease, and only histological examination can make the diagnosis certain.CASE 1.-In June, 1906, a child was brought up by its mother to St. Bartholomew's Hospital under the care of Dr. Morley Fletcher, to whom the author is indebted for tthe case, for some "yellow swellings " which i t had scattered about the body.There mere two swellings in the neck, one on the left arm, one or two on both legs, and a few scattered about the trunk.To look a t they were bright yellow, slightly depressed in the centre, and had a glazed surface reseinbling very closely Xanthorna planum.The edge of ezch swelling was reddish where vessels could plainly be seen.The tumours in size varied from 2 in. to & in. in diameter.They were raised about 3 or 4 mm.above the surface, were of firm consistency and moved with the surrounding skin, which was in every way normal.What urine could be obtained was carefully examined, but nothingThe face was the part most affected, especially the eyelids.I n other respects the child was quite healthy.