There appears to be increasing prevalence of SLE related PLE. A diagnosis can be made using 99m Tc-labeled HSA scintigraphy. PLE generally responds well to immunosuppressive therapy.

I saw many cases of "irrltable heart" m:d tachycar(lia, and of the rarer diseases I may mention Addison's disease and alopecia universalis. Before eoncludin~ I would wish to emphasise the fact that the number of medical cases in the hospitals in South Africa was vastly in excess of the snrgical cases, and tile corollar.v is that physicians were more needed than surgeons. In the Irish Hospital we treated 2,748 patients, of whom more than five-sixths were medical. C<)ntrast our 672 cases of enteric with 114 cases of bullet-wounds. In l~loelnfontein in the large general hospitals the enteric patients outnumbered the wounded in the l)r~,p()rtion of ~?0 to 1. Looking at the ofiqeial lists of casualties, how often do we not see the statement at, the top of a long list of deaths, " Died of enteric unless otherwise stated ? " Consulting physicians would have been of incalculable service in all tile large hospltal centres at the seat of war, and it is to be hoped that if, unllappily, the occasion arises again the slek will have the benefit of the services of a suffleient number of physicians. ART. V.-A'asal Suppuration ; its C~ulses and D~'erential Diag~wsis.

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Surgeon to the Dublin Throat and Ear Hospital; and Throat Surgeon to the Adelaide Hospital.