An acute febrile pleiochromic anemia with hyaline thrombosis of the terminal arterioles and capillaries

This case is remarkable, clinically and anatomically. REPORT OF CASE History —K. Z., a girl, aged 16 years, was an elementary school graduate, had gone to business school, and had been employed for eight months preceding the illness. There were three other children, two younger and one older; all apparently were perfectly normal. There were no home difficulties, and poverty was not extreme. She had spent September 4 and 5 at Rockaway Beach, where she appeared in perfect health and spirits. She had returned home on the evening of September 5 and slept well. On the morning of September 6, she complained of weakness in the upper extremities and had pain on moving the wrists and elbows; she already had marked pallor and was slightly constipated. The symptoms increased in severity until she was admitted to the Beth Israel Hospital, September 15. While at home, she had a constant fever,