22, 124. he would look at it from all angles, holding it close and then examining it at a distance, always searching for auxiliary identification marks.His memory was in no way impaired and he was well acquainted with the current political situation. He could calculate both mentally and on paper. Neurologically, there were no objective findings. His gait was normal, his speech was unimpeded, and there were no disturbances of affect.Latterly he began to suffer from an anginal syndrome. He was admitted to the Hadassah Municipal Hospital in Tel-Aviv with a myocardial infarction and died shortly afterwards.
NECROPSYThe body was that of a man who appeared younger than his chronological age.The chest and back were covered with round or oval verrucose growths, 1 to 3 cm. in diameter, which were irregularly and sharply defined. Microscopic examination showed them to be Acrokeratosis verruciformis.The pupils were round and equal in size, the sclerae white, and the neck veins engorged. On opening the body, 500 ml. of serous fluid was found in the peritoneal cavity. The right heart was greatly dilated with hypertrophy of the left ventricle. On the epicardial aspect of the posterolateral wall of the left ventricle a roundish, greyish white area, 3 cm. in diameter, was found. Similar areas, each 1 cm. in diameter, were found on section of the posterior wall. The heart weighed 420 g. The coronary arteries were atheromatous, particularly the posterior descending branch, to the extent that its lumen was almost completely occluded. Microscopic examination disclosed old and fresh myocardial infarctions and severe arteriosclerosis of all the vessels examined. Multiple atheromata, some of which were calcified, were found in the ascending aorta, the aortic arch, and particularly in the abdominal aorta. No infiltrates were seen in the vessel wall.The kidneys showed arteriosclerotic, arteriolosclerotic, and secondary parenchymatous changes.The gall bladder contained four stones, each 1 cm. in diameter, and three small stones. On microscopy the gall bladder wall showed atrophic oedematous cholecystitis.Microscopy of the liver revealed nutmeg congestion, cholangitis, and pericholangitis. The thyroid was enlarged, weighing 200 g., and on microscopic examination macro-and microfollicular adenomata were found. 336
