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The cases were under the care of Murray of Tottenham, by whom they had been previously reported. Williams has reported the case of a militiamen of seventeen who, three days after an extensive tattooing of the left forearm, complained of pain, swelling, and tenderness of the left wrist. A day later acute left-sided pneumonia developed, but rapidly subsided.

Without stirrup, without holding the reins, with our arms behind us, and as often as not sitting left-sided on the saddle, to go through violent plunging, rearing, and kicking lessons, and taking our horses over the bar, was a considerable test of a firm seat, and in all these special feats I became a proficient.

The end came swiftly with a left-sided cerebral haemorrhage that robbed him of his speech and paralysed the right side of his body, not in the middle of any unusual exertion, but when he was sitting quietly over the fire after dinner. Biddy found him there when she brought him in his nightcap, huddled up on the floor where he had fallen. She had expected something of the kind for long enough.

At the seventeenth year the patient began to have a left-sided headache and increased sweating of the right half of the body. In 1892 the periodically-appearing skin-affection became worse. Instead of healing, the broken vessels became blackish and healed slowly, leaving ulcers, granulations, and scars, and the gangrenous tendency of the skin increased.