Regarding the question of priority, my perennial work started in 1920, and ff.:~~ that time on, the men at the New York Hospital have been familiar with the work done with the patients I carried along both at the hospital and at the office. I hope more physicians will try the method. I am sure if gon exclude all otli:,; associated sensitivities, such as, oriis root, feathcxrs, et,?., and use the pol:ena that a:‘e indicated, your results will be most gratifying with the perennial treatment, and I agree with Dr. Duke that all of us will be using this method of treatment ill the future.
manations of Plies as Excithg Causes o III. Hypersensitiveness to Moths and J. l~ARId~To7BIJIWALO. (For original article,
see
page
!%.)
DISCUSSION MR.
moat scales. from i am C. S.
0. C. DURHAM, XOBTH ~HlC~~i;0.-~ Shall take a nlomC!nt t0 say that 011 of our national series of slides I do not find a great. nsally butterfly and ?noth I have never taken the trouble to oount them or make a record, but slides Florida often show a great many, considerably more than there are po!lens. planning with Dr. Parlato to report all butterfly and moth emanations on tlie Weather Bureau slides this year.
DR. HARRY His contribution Ikd experience versallp found.
S. BER,XTOX, WASHIXGTOS.-I desire to eongratutiate Dr. Parlato. is a very valuable one. I should like to ask Dr. Paliato if he has with the wings of the ordinary house ilp which is more or !ess uni-
DR. W. W. DUKE, KAXSAS CITY, MO.-1 want to congratulate Dr. Parlato on his work. I have tested patients routinely for fly sensitiveness and I have found We have enormous swarms of these flies in Kansas City. several positive cases. They can be found in great numbers around bright lights. L had One case that gave a complete clinical relief after three treatments with Ay extract. DR. KARL D. FIGLEY, TOLEDO.-I want to congratulate Dr. Parlato on. tllis splt?ndid presentation. I think that this work is opening up 3 very large fieid wit?! :,egard to the discovery of new allergens, and I wish to emphasize, as I)r. Duke has clone, that these flies are not conGned to the lake distTi&, but are found a11 own the world, around large rivers and streams. In fact, in Izaat: Walton’s book y’/llt,k Cmnpleat hgler, he describes the flies, which, of course, he discovered 21 England. i should like to ask Dr. Parlato if he has made romparative tests on his caddis lly sensitive patients with Xay fly extract? I hare had t,llc opportunity to tust out one patient with both, and the patient reahtecl to the hIa? fly, hut not to t,be caddis Ay. DR. PARLATO.--I want to express my appreciation for the col?~l~iiruc~nt~tr~ri’marks made by those ~vho discussed my paper. I am very much encouraged by the favorable criticisms Tvhich hare been expressed here, but the fact that I did not lieal* much adverse criticism makes me afraid and cautious. It is my hope that you will undertake to study and observe these flies in your rcspwtive cities. 111 tliis >vay, \\.c ran hope for some collabcration of my Mark. I shall be glad to fuunisl3 some extract of these flies upon request.
SOCIETY
205
I”KOCEI3DINGS
moths. The wing itself is nothing but a membrauous structure similar to that of the May fly. You have heard, as a matter of fact, that the feet of the house fly have hair, but those are more for tactile purposes than the kind of hair we are speaking of. I doubt whether they are capable of causing allergic symptoms through inhalation. It is possible that immediate contact on the skin could cause symptoms. I appreciate Dr. Duke’s encouraging efforts to cooperate with my work. His experience, I am sure, can be duplicated by any member who will look for .these flies during this summer. In about two or three weeks, you will see them just as sure as you will see grass pollen in the air. Dr. Figley asked about the May fly. I think it was a year ago I asked him for some of his May fly extract. Naturally, I was very mu& interested in determining whether some of the people in Buffalo could be sensitive to the May fly, as they are found in great numbers along with sand flies and moths. These three flies are found very much together. Their life habits are the same. They are attracted to electric lights. You see them on the streets, on the cars and on your clothes as you walk along the streets of Buffalo. I have prepared a, paper on the May Ay which I hope to publish in the near future. Briefly, I wish to say this much, that my repeated examinations of specimens of May flies show that there are no emanations such as we see coming from the t~&optera; or Zepidoplera. Their wings are wide and big in proportion to their body but there are no emanations. Dr. Figley also spoke of the pelliele of the May fly as it leaves the water. I have looked for this pellicle near the water and inland. I expected to find it and It is quite possible that I have overlooked it. did not. I tested, I think, a series of about 200 patients with his extract, and I found one patient who gave a good skin reaction but it was not confirmed by the eye test. Taking some of the wing of the May fly and putting it in the eye did not give a positive reaction. I also tested all those cases which I considered sand fly positive. There were none which reacted to May fly.
The Incidence and ItiSle of Paran,asal Sinus Disease in Hay Fever. RICHARD A. KERN AND J. C. DONNELLY, PHIIADELPHIA. (For original article, see page 172.) DISCXSSION DR. LEON fever season DR.
UXGER, or preceding
DONNELLY.-Several
Cmmc;o.--Were it? months
those
x-ray
pictures
taken
during
the
hay
before.
DR. GEORGE PINESS, Los ANGELES-I was very glad to hear this paper because it confirms the opinion expressed by myself and workers in about. 1934. At that time lve contended that sinus disease as a rule plays a very small part in the average hay fever individual, that when sinusitis did occur it was usually secondary to the hay fever condition, and that other pa,thologic conditions such as nasal polypi, were a secondary factor, and all such conditions should be removed or treated to prevent further extension of the respiratory infection. I should like to ask Dr. Donnelly the technic of his x-ray studies in these cases and whether or not they were restudied from an x-ray standpoint following the hay fever season. DR. KERN.-In regard to the matter of x-ray, that was done by what ‘we feel is perhaps the most complete sinus x-ray technic that we know of. I think that is why we get such a high incidence of positives, TO-odd per cent in normal individuals. I must say in explanation of that, that those are all individuals living in or around Philadelphia where sinus disease is perhaps more prevalent tllan anywhere else in the country.