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By F. C. Arrillaga. Buenos Aires: Pedro Garcia.

Arch Intern Med. 1926;38(2):278.

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This is an excellent monograph of 375 pages. It is profusely illustrated with photomicrographs, roentgenograms and drawings, several of which are in color. It represents a study of twenty-two cases of so-called "black cardiacs." Arrillaga's work puts this subject on a firm basis as a definite clinical entity. The patients are mostly old cardiac patients with histories of chronic arterial disease. They generally come to the hospital with a decompensation. Mitral stenosis occupies a prominent place in the etiology, being present in about one third of the cases. The clinical picture is most striking. In addition to the general cyanosis there is an extreme lividity of the hands, feet and head, the latter being a dark blue or even black. Dyspnea, tachycardia. cough and expectoration are marked. The urine is generally full of albumin. The blood picture is striking. The leukocyte count is normal in number and kind. There is, . . . [Full Text PDF of this Article]

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