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Traumatic Separation of the Small Trochanter

disappear healing could not result. As chronic nephritis was an incurable and progressive disease one was therefore not surprised that therapeutic measures were of no avail. Dr. SCHLESINGER (in reply) said that he considered this to be a case of renal rickets. Ordinary rickets could be excluded because the diet during the last four or five years had been anti-rachitic and yet the condition had gradually advanced. He understood that ordinary late rickets only came on after vitamin A and vitamin D deficiency. He did not agree with Dr. Findlay that rickets in renal disease was the same as that produced by a lack of these vitamins. Ordinary rickets was cured by means of ultra-violet light or by supplying the deficient vitamins; renal rickets on the other hand remained unaffected. In fact it had been said that ultra-violet light might prove dangerous and could produce uriemia. It was therefore important to keep a watch on the blood-urea if this treatment were attempted.