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HELMINTHS AND PELLAGRA
1395 to Dr. Hales’s
question. A few weeks ago I spent a relation of mine who is nearly 80 years with day of age. He weighs just a little short of 200 pounds and has a definite " corporation." We played tennis in the morning, golf in the afternoon, and billiards after dinner. I hate to publish my shame, but he beat me at the latter two games and we dead-heated at an excellent dinner. He easily beat me at the "Taylor 1912," which we drank to celebrate the " Royal " he got this autumn. a
I am,
Sir, yours faithfully, CHRISTOPHER HOWARD.
Dec. 10th, 1933.
ANNULAR SHADOWS IN
THE LUNG
To the Editor
of THE LANCET SIR,-The case, Pleural Ring v. Cavity, has raised such heat in the past as the importance of these appearances seems hardly to justify. It might help towards a satisfactory verdict if it could be explained : 1. Why these flimsy creations often slowly alter their position in the chest without undergoing change of shape or size ? 2. Why, at any rate occasionally, the circumference breaks up into segments ? 3. How it is that no one apparently has ever as yet in England coaxed any lipiodol into these sometimes .enormous areas ? No single one of the theories seems to fit all the cases ; but many of the rings behave as if caused
by
a
that the man was alive and well and that the operation unusual. Will you publish this disclaimer in the proper part of the paper and let me know if permission was granted to use the illustration which the paper has reproduced.- I am, Sir, yours faithfully, G. GREY TURNER. Newcastle, Dec. llth, 1933. * ** No communication was received by the North Mail from us with regard to the use of the photograph, though its source is duly acknowledged.-ED. L. was
mycelial growth. I am,
Sir, yours faithfully,
Petersfield, Hants, Dec. 9th, 1933.
FRANCIS JUPE.
HELMINTHS AND PELLAGRA
To the Editor of THE LANCET SiR,-In your last issue Colonel Clayton Lane seeks to emphasise the importance of the association of pellagra with helminthic infections noted by Biggam and Ghalioungui and previously by Woodcock and states that it is one that cannot be disregarded in the future, rather suggesting that helminthiasis should be looked upon as a specific factor in the causation of the disease " in addition to deficient nutrition." It has been so held by some observers just as others have believed that amoebiasis was a specific factor in causation. The truth would appear to be that both may play a part in causing deficient In treating a population suffering with nutrition. is just as necessary to eradicate worm it pellagra infestations as it is to exterminate helminthiasis in populations to be treated for syphilis or leprosy if good results would be obtained. Deficient nutrition may result from deficient assimilation rather than deficient diet and many factors may be involved. In regard to pellagra, some of the most instructive cases are those associated with organic disease of or operative interference with the gastro-intestinal tract, and alcoholism.-I am, Sir, yours faithfully, HUGH S. STANNUS. London, W., Dec. 9th, 1933. -.
DISCLAIMERS
To the Editor
of THE LANCET North SiR,-The Xail, in its issue for Dec. 9th, published in a conspicuous manner an account of the case of excision of the oesophagus which appeared in THE LANCET of the same date under my name, and an interview with me is mentioned. I had nothing to do with the publication, nor did I grant any representative of the paper an interview. Two newspapers rang me up on the telephone, and in both cases I said I could give no information whatever ; but to a direct question from the North Mail I replied
To the Editor
of
THE LANCET
SiR,-In Reynolds’s Illustrated News of Nov. 26th, Professor an interview with a 0. A. Newell, in which he says that " He made "
1933, there appears
"
in conjunction with Lieut.-Colonel P. J. Marett, medical officer of health for the island " (Jersey). I should be grateful if you would publish this complete denial. I do not know " Professor " 0. A. Newell, and have never made any investigations in conjunction with him, nor have I ever corresponded with him. The statement objected to was brought to my notice in a letter sent to me, requesting to be informed as to where a supply of this " cure " could be obtained. Had it not been for this letter I should have known nothing about the article in the paper, and I am unaware whether my name has not been used on previous occasions. I have called upon the editor of the newspaper in question to correct the false statement referred to and to apologise therefor. I am, Sir, yours faithfully, P. JANVRIN MARETT,
investigations
Jersey, Dec. 6th, 1933.
THE
Lieut.-Colonel.
SERVICES
ROYAL NAVAL MEDICAL SERVICE Lt. W. R. S. Panckridge to be Surg. Lt.-Comdr. Surg. Surg.-Comdr. L. W. Gemmell is appointed to Pembroke for R.N.B., Chatham. ROYAL ARMY MEDICAL Lt.-Col. G. F. Rugg, having attained ment, is placed on retd. pay. Lt.-Col. W. J. E. Bell retires on retd. Maj. & Bt. Lt.-Col. W. H. O’Riordan Benson to be Lt.-Cols.
CORPS the age for retirepay. and Maj. C. T. V.
TERRITORIAL ARMY
Lt. H. W. Bambridge to be Capt. W. T. E. Blackmore to be Lt. TERRITORIAL
ARMY
Maj. I. J. Williams,
Flight
RESERVE
from Active
OF
List,
OFFICERS
to be
ROYAL AIR FORCE Lt. E. Donovan is transferred to
Maj. the Reserve
class D(ii). COLONIAL MEDICAL SERVICE Dr. E. A. Blok and Dr. P. H. Perera have been appointed Provincial Surgeons, and Dr. P. B. Fernando, Medical Superintendent of the Galle Hospital, Ceylon. Dr. W. J. Laird becomes Medical Officer, Sierra Leone, Dr. D. P. Turner, Medical Officer, Nyasaland, and Dr. A. R. Paterson, Director of Medical and Sanitary Services,
Kenya. FOREIGN DECORATIONS.-Dr. Reginald Saint Alban Heathcote has been
the Royal licence and authority the Third Class of the Order of the Nile, which has been conferred upon him by the King of Egypt, in recognition of valuable services rendered by him as Professor of Pharmacology in the Egyptian Faculty of Medicine. to
wear
the
given Insignia of
question. A few weeks ago I spent a relation of mine who is nearly 80 years with day of age. He weighs just a little short of 200 pounds and has a definite " corporation." We played tennis in the morning, golf in the afternoon, and billiards after dinner. I hate to publish my shame, but he beat me at the latter two games and we dead-heated at an excellent dinner. He easily beat me at the "Taylor 1912," which we drank to celebrate the " Royal " he got this autumn. a
I am,
Sir, yours faithfully, CHRISTOPHER HOWARD.
Dec. 10th, 1933.
ANNULAR SHADOWS IN
THE LUNG
To the Editor
of THE LANCET SIR,-The case, Pleural Ring v. Cavity, has raised such heat in the past as the importance of these appearances seems hardly to justify. It might help towards a satisfactory verdict if it could be explained : 1. Why these flimsy creations often slowly alter their position in the chest without undergoing change of shape or size ? 2. Why, at any rate occasionally, the circumference breaks up into segments ? 3. How it is that no one apparently has ever as yet in England coaxed any lipiodol into these sometimes .enormous areas ? No single one of the theories seems to fit all the cases ; but many of the rings behave as if caused
by
a
that the man was alive and well and that the operation unusual. Will you publish this disclaimer in the proper part of the paper and let me know if permission was granted to use the illustration which the paper has reproduced.- I am, Sir, yours faithfully, G. GREY TURNER. Newcastle, Dec. llth, 1933. * ** No communication was received by the North Mail from us with regard to the use of the photograph, though its source is duly acknowledged.-ED. L. was
mycelial growth. I am,
Sir, yours faithfully,
Petersfield, Hants, Dec. 9th, 1933.
FRANCIS JUPE.
HELMINTHS AND PELLAGRA
To the Editor of THE LANCET SiR,-In your last issue Colonel Clayton Lane seeks to emphasise the importance of the association of pellagra with helminthic infections noted by Biggam and Ghalioungui and previously by Woodcock and states that it is one that cannot be disregarded in the future, rather suggesting that helminthiasis should be looked upon as a specific factor in the causation of the disease " in addition to deficient nutrition." It has been so held by some observers just as others have believed that amoebiasis was a specific factor in causation. The truth would appear to be that both may play a part in causing deficient In treating a population suffering with nutrition. is just as necessary to eradicate worm it pellagra infestations as it is to exterminate helminthiasis in populations to be treated for syphilis or leprosy if good results would be obtained. Deficient nutrition may result from deficient assimilation rather than deficient diet and many factors may be involved. In regard to pellagra, some of the most instructive cases are those associated with organic disease of or operative interference with the gastro-intestinal tract, and alcoholism.-I am, Sir, yours faithfully, HUGH S. STANNUS. London, W., Dec. 9th, 1933. -.
DISCLAIMERS
To the Editor
of THE LANCET North SiR,-The Xail, in its issue for Dec. 9th, published in a conspicuous manner an account of the case of excision of the oesophagus which appeared in THE LANCET of the same date under my name, and an interview with me is mentioned. I had nothing to do with the publication, nor did I grant any representative of the paper an interview. Two newspapers rang me up on the telephone, and in both cases I said I could give no information whatever ; but to a direct question from the North Mail I replied
To the Editor
of
THE LANCET
SiR,-In Reynolds’s Illustrated News of Nov. 26th, Professor an interview with a 0. A. Newell, in which he says that " He made "
1933, there appears
"
in conjunction with Lieut.-Colonel P. J. Marett, medical officer of health for the island " (Jersey). I should be grateful if you would publish this complete denial. I do not know " Professor " 0. A. Newell, and have never made any investigations in conjunction with him, nor have I ever corresponded with him. The statement objected to was brought to my notice in a letter sent to me, requesting to be informed as to where a supply of this " cure " could be obtained. Had it not been for this letter I should have known nothing about the article in the paper, and I am unaware whether my name has not been used on previous occasions. I have called upon the editor of the newspaper in question to correct the false statement referred to and to apologise therefor. I am, Sir, yours faithfully, P. JANVRIN MARETT,
investigations
Jersey, Dec. 6th, 1933.
THE
Lieut.-Colonel.
SERVICES
ROYAL NAVAL MEDICAL SERVICE Lt. W. R. S. Panckridge to be Surg. Lt.-Comdr. Surg. Surg.-Comdr. L. W. Gemmell is appointed to Pembroke for R.N.B., Chatham. ROYAL ARMY MEDICAL Lt.-Col. G. F. Rugg, having attained ment, is placed on retd. pay. Lt.-Col. W. J. E. Bell retires on retd. Maj. & Bt. Lt.-Col. W. H. O’Riordan Benson to be Lt.-Cols.
CORPS the age for retirepay. and Maj. C. T. V.
TERRITORIAL ARMY
Lt. H. W. Bambridge to be Capt. W. T. E. Blackmore to be Lt. TERRITORIAL
ARMY
Maj. I. J. Williams,
Flight
RESERVE
from Active
OF
List,
OFFICERS
to be
ROYAL AIR FORCE Lt. E. Donovan is transferred to
Maj. the Reserve
class D(ii). COLONIAL MEDICAL SERVICE Dr. E. A. Blok and Dr. P. H. Perera have been appointed Provincial Surgeons, and Dr. P. B. Fernando, Medical Superintendent of the Galle Hospital, Ceylon. Dr. W. J. Laird becomes Medical Officer, Sierra Leone, Dr. D. P. Turner, Medical Officer, Nyasaland, and Dr. A. R. Paterson, Director of Medical and Sanitary Services,
Kenya. FOREIGN DECORATIONS.-Dr. Reginald Saint Alban Heathcote has been
the Royal licence and authority the Third Class of the Order of the Nile, which has been conferred upon him by the King of Egypt, in recognition of valuable services rendered by him as Professor of Pharmacology in the Egyptian Faculty of Medicine. to
wear
the
given Insignia of