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Phagocytosis of red cells, and to a lesser extent of white cells, has long been known to occur within the blood-making organs of the body in health and to a greater degree in disease. The interest of the present case is that it exemplifies the occurrence of extensive phagocytosis in the peripheral blood, involving a destruction of red cells so rapid that it may well have been the cause of the fatal anaemia which ensued. As to the cause of this phagocytosis I am altogether in doubt, but since it involved every type of leucocyte in the blood, it seems reasonable to attribute it to the presence of autohaem-opsonins in the serum. Details of the case are as follows :

A FATAL ANÆMIA WITH ENORMOUS NUMBERS OF CIRCULATING PHAGOCYTES