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CHRISTIAN HAMBURGER, K. G. HANSEN, and POUL V. MARCUSSEN

Numerous investigations have shown that light exerts an influence upon the endocrine functions, especially upon the sexual cycle. It is likely that light may stimulate the hypophysis to an increased gonadotrophic activity, and that this effect is mediated through the eyes. Beside this «physeal reaction», light might produce some endocrine effects as a result of irradiation of the skin. Thus Myerson & Neustadt (1939) found that ultraviolet irradiation of the skin increased the 17-ketosteroid excretion in man.

This observation was especially interesting, as it might be a clue to the problem of the manner in which ultraviolet irradiation exerts its beneficial effect upon certain skin diseases. A photo-chemical steroid formation could be an important factor.

Myerson & Neustadt used a small quartz, mercury lamp, the spectrum of which consisted of 52 per cent infrared, 20 per cent luminous and 28 per cent ultraviolet rays. (No further information on the

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AA. VIDEBÆK, G. ASBOE-HANSEN, P. ASTRUP, V. FABER, CHR. HAMBURGER, K. SCHMITH, M. SPRECHLER, and K. BRØCHNER-MORTENSEN

After Hench and co-workers, in 1949, called attention to the marked effect of ACTH and cortisone on chronic rheumatoid arthritis, there has been an enormous interest in the biological effect of these substances, and they have now been under test in a large variety of diseases.

Only one report appears to have been published on the effect of cortisone on acute rheumatic fever, i. e. by Hench et al. (1949 a) who treated 3 cases of acute rheumatic fever with Kendall's compound E (cortisone) with remarkable effect on the fever, pulse rate, sedimentation rate, articular pain, and electrocardiographic changes.

The effect of ACTH on acute rheumatic fever has been reported in a few cases. Hench et al. (1949 b) have briefly mentioned a satisfactory effect in one case, and Thorn et al. (1949) obtained a favourable instantaneous effect in three. Elkinton et al. (1949), on the other hand, failed to