An investigation of a group of exposed and infected lead workers is descriptionbed. It is suggested that by use of a routine urine test it is possible to diagnose a condition of 'pre-plumbism in the exposed. worker. It is suggested that there is a possible relationship between fat or fat-associated substances and the clinical signs of lead intoxication.
In a series of 500 cases, clinically palpable epitrochlear lymph glands were found in 75% of native males and 54% of native females. The enlargement was unrelated to syphilis. Over 80% of the glands showed a chronic nonspecific lymphadenitis and repeated minor trauma and sepsis was suggested as one of the aetIOlogical factors. Three glands removed for biopsy (10%) proved to be tuberculous.