In a preliminary report,1 published in 1935, we described 6 cases of Raynaud's disease and scleroderma treated by parathyroidectomy. At a later date,2 one of us (J. H. G.) described 2 additional cases. The last report (by J. H. G.), which dealt with the technic of the operation, appeared in the Journal of the Mount Sinai Hospital for November 1937. Up to the present writing, the operation has been done in 17 cases. It is our present purpose to appraise the late results in these cases and to state the conclusions which this investigation has led us to form.
It may not be amiss to review briefly certain considerations which led to the rationale of our procedure.
Five years ago we were confronted with a case of generalized scleroderma. The patient was a man who was totally disabled by the disease. We used numerous therapeutic measures without effect,