BY JOHN E. PENDLETON, M.D., of Hartford, Kentucky. The accompanying photographic representation conveys a very correct idea of the present appearance of Daniel Mc- Dowell, æt. 22, an inmate of the Ohio County (Kentucky) Almshouse, colored, and born free in Jackson County, Tenn. The left hand is. congenitally atrophied, attributed, by his mother, to an impression upon her, by the sight of a hand mutilated in a fight, while pregnant. At the age of five years, the second and third metacarpal bones began and continued to enlarge on their dorsal aspect, until they united and formed a double tumor, of the size of two small oranges, and thus remained for nearly eleven years, with- out tenderness or pain. In the latter part of his sixteenth year, all the metacarpal bones and phalanges of the hand, except those of the thumb, became involved, and in a few months the member was con- verted into an irregularly rounded mass, of probably six or seven pounds' weight, from which the fingers projected—as John Bell not inaptly remarked—" like the toes of the sculptured