Ignipedites

Sir,?I have perused the remarks on Ignipedites by SurgeonMajor B. Evans in the Indian Medical Gazette of August last with great interest. I made the following notes four years back when I was in the Northern Concan. " Ignipedites : Cases of burning sensation of the hands and feet have not unfrequently come under my observation. This burning pain is noticed sometimes in connection with other diseases, such as dyspepsia, fevers, leprosy, phthisis, See. But my attention has been drawn to several patients in whom the sole complaint was a severe burning pain of the soles and palms, without any other marked constitutional disorder to which it could be ascribed. From the number of cases that I ha ve observed I consider it worth while to notice it as a distinct affection. I do not know of any detailed description or separate notice of this disease in any works. The extent of burn i ng sensation varies ; it is sometimes slight?only a hot' sensation in the soles and palms is complained of. But at other times the pain is intense, it prevents the patient from sleeping, standing or walking. The soles, as signified by the term ignipedites, are more frequently affected than the palms, but oftentimes both are associated. The disease is more