Chronic Syphilitic (?) Gastritis With Total Gastrectomy and Pernicious Anemia

This case is reported because of several interesting features. First, the type of gastric lesion is unusual; second, a total gastrectomy has been successful and the patient is still well after five years; third, the patient has developed pernicious anemia of a severe type, which has been successfully controlled. REPORT OF CASE History. —Mrs. M. C., aged 37, white, American housewife, first appeared in the medical clinic, Oct. 12, 1925, complaining of vomiting, progressive weakness and loss of weight. She dated her illness back to a period one year before, at which time she complained of some epigastric discomfort, some eructations of gas, nausea and vomiting immediately after or within an hour after the ingestion of food. She had marked anorexia. These symptoms began in the early weeks of her last pregnancy but had continued since the delivery three months before. She had obtained no relief from medicines. She had