"

PANCREATIC DIABETES."

M. Lancereaux describes

cases in which sudden loss of strength, great thirst, polyphagia, wasting, and loss of sexual desire, with at first diurnal and later also nocturnal polyuria. Phthisis developed at the apices of both lungs. Death occurred with a low axillary temperature. Nothing was found at the necropsy except atrophy of the pancreas ; the pancreatic duct was narrowed in one part of its length, and completely obliterated at another; there were no calculi, and the organ weighed thirty-five Violent epigastric pain is remarked grammes. upon; the polyuria is nearly always related to the quantity of liquid ingested. Atrophy of the pancreas lias been described as due to sclerosis, calculi, obliteration of the duct, and Some observers have thought that steatosis. destruction of the pancreas is perhaps a cause of diabetes. Several types of diabetes are recognised by Lancereaux: pancreatic or lean diabetes, with very rapid progress ; fatty or constitutional diabetes, which is more commonly hereditary, has a slow couise, and presents 110 occur

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pancreatie lesions; traumatic or nervous diabetes, due to shock of some kind, end generally

slight

We do not give these views them, but because they are speculations.? The Lancet.

and curable. we endorse

because

suggestive