Tropical splenomegaly syndrome in a caucasian in Africa.

In recent years there has been increased interest in the tropical splenomegaly sn e and the subject has recently been reviewed (Pitney, 1968; Marsden and Hamilton, 1969; British Medical 7oural, 1969). Outside Africa pical splenomegaly syndromne has been described in the inhabitants of South Arabia (Fawdry, 1965), who anthropologically are caucasoid, in the Melanesians of New Guinea (Marsden et al., 1967; Pryor, 1967), who are negroid, and in Bengalis (Chaudhuri et al., 1956), who are caucasoid. No Caucasian (or "European") cases of tropical splenomegay syndrome appear to have been reported from the African continent, and at least one observer with long., experience in Africa states that he has yet to diagnose such a case (Lanzo, 1969). All the cases in Africa appear to have been in Negroes (Marsden et al., 1965; Lowenthal et al., 1966; Ratnesar et al., 1966; Watson-Williams and Allan, 1968). In a series from the Sudan specific mention is not made whether the patients were Afri-