CASE REPORTS 513 VENA CAVAL THROMBOSIS WITH POLYCYTHEMIA AND LEG ULCER *

T H E first case of vena caval thrombosis associated with polycythemia was re-ported by Ragins and Coe in 1943.1 In their patient the polycythemia developed under observation subsequent to a thrombosis of both the superior and inferior vena cava. The patient did not recover and an autopsy disclosed the vena caval obstruction which had been suspected clinically. Before the thrombosis the hemoglobin was 85 per cent and the red blood count 4,900,000. After the throm-bosis the hemoglobin rose to 100 per cent and the red blood count to 7,960,000. We wish to report a similar case which recovered and subsequently developed varicose ulcers of the legs. CASE REPORT The patient, a white female aged 61 years, entered Roper Hospital on February 2, 1946, complaining of pain in the legs. Two years previously she had awakened one morning "swollen all over, " and the joints of her entire body became stiff. Her loca