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reported by Dr. Paschal.* The disease continued to increase in size until the age of six and a half years, when amputation was re- sorted to. The measurements and weight give an idea of the huge proportions assumed, considering the age of the patient. The foot measured, from the heel to the end of the great toe, eighteen inches ; from the heel to the instep twelve inches ; the great toe eight inches ; second and third toes six inches. The weight was five pounds. Duffy, f in the Transactions of the Philadelphia Pathological Soci- ety, gives an account of a singular case of the same disease.

The " treatment of elephantiasis, with a table of fifty cases," was considered by Dr. D. W. Osgood, | while Dr. T. G. Morton§ also gave a paper on its treatment by the ligation of the large arteries. The latter surgeon later, moreover, performed exsection of a portion of the sciatic nerve at the upper third of the thigh for the relief of the disease, which was followed by marked diminution in the size of the limb. II The successful operation of Dr. Wagner on a case of acne rosacea of the nose, with great hypertrophy, is also deserv- ing of record.^

Two professorships of dermatology were created this year, one in the University of Vermont, to which Dr. R. W. Taylor was elected ; the other in the University of Pennsylvania, to which the writer was chosen, the lectureship on skin diseases in the latter institution being at the same time abolished. A chair of dermatology and or- thopaedic surgery was likewise established in the Chicago Medical College, Dr. J. N. Hyde being the incumbent. In the Long Island Medical College a lectureship was made, Dr. S. Sherwell receiving the appointment, while in Philadelphia the Pennsylvania Free Dis- pensary for Skin Diseases was opened, with Dr. J. V. Shoemaker as physician-in-charge. According to the statistics of the annual re- ports, nearly two thousand cases have, up to the present time, been recorded here.

In January, 1877, "a practical treatise on diseases of the skin," by the writer, was published,** the subject-matter being arranged according to the system of Rokitansky and Hebra, condensed and modified with the view of making the classification as practical as possible. The modifications were essentially those demanded by recent advances in pathology. The writer in passing to another subject may be allowed the opportunity to thank the members of this Association for the very kindly reception accorded the volume at their hands. A few months later Bulkley published his views on classification. ■j""!' The basis adopted was the scheme of Hebra, the modifications, with some few striking exceptions, being those of Neumann and of other writers of the period. The classification,

f Phila. Med. Times, Dec. 23, 1876. X N. y. Med. Record, April 8, 1876. Amer. Jour, of the Med. Sci., April, 1876. II Phila. Med. Times, Jan. 19, 1878. Arch, of Clin. Surg., July, 1876.
 * Richmond and Louisville Med. Journ., Dec. 1876.
 * Pbila<lelpbi&. ft Arch, of Derm., April, 1877.