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Pathology Annual

Volume III, edited by SHELDON C. SOMMERS, M. D. viii + 466 pages, illustrated, with color plates. Appleton-Century-Crofts, New York, N.Y. 1968. $14.75

This collection of review articles, while carrying no stated theme, seems to emphasize the pathology of the kidney. Five of the fourteen chapters discuss various renal changes, largely from clinical and morphologic standpoints. Readers of this journal will probably find two of the other contributions of particular interest.

Beginning the collection is an excellent essay by Lt. Col. Frank W. Kiel entitled Malaria in Viet Nam. Dr. Kiel blends specific geographic details with statistical reports, well-chosen anecdotes, and accepted general principles to achieve a remarkably readable, informative report. Medical personnel in Vietnam had problems adapting standard diagnostic techniques to rapid, large-volume demands, with both falciparum and vivax infections causing significant morbidity. In 1966, the malaria incidence among American personnel was 40.2 cases per 1,000 troops per year, with 14 deaths reported. Although this contrasts strikingly with the incidence rate of 478.2 per 1,000 troops per year reported 20 years earlier by the French army, the disease remains a serious, chronic concern.