A study of the phenomena of polymorphism in hydroids and insects will beautifully and most interestingly illustrate latent hereditary units.

Much that is speculative and fanciful is included under the subject of atavism, and the safest plan for pathologists and biologists, in considering any abnormality, is to remember a golden rule of Gegenbaur, that only those structures are reversional which are taxonomically not far distant or phylogenetically not very old. Embryology is also a very important check in considering such subjects.

In mankind supernumerary limbs and digits, microcephalia and micrencephalia, have been looked upon as reversions to the simian type.

Lombroso, in contrasting the criminal with normal man, looks upon his homo delinquens as an illustration of atavism, contrasting with homo sapiens. But, as Ziegler, in his Pathology, well observes, many writers have gone too far in this respect, and have characterized as atavistic formations various acquired pathological formations and fresh variations of germ cells.

I think one can safely say that supernumerary ribs and those supernumerary nipples and mammary glands along the line of the deep epigastric and internal mammary arteries are truly atavistic structures; also certain muscles normally belonging to those mammalia which come near to man in the scale of relationship, and which appear in man as muscular variations, are reversional.

Children are often born with pigmented hairy patches on their bodies known as moles; sometimes these hairy moles are only of the size of a split pea, in other cases they are several square inches in area, while in rare cases almost all of the trunk may be thus covered. Although many similar pathological cases are often but marked variations called sports, yet the illustrations mentioned are undoubtedly reversional. Of the multitudinous illustrations of atavism that could be mentioned I wish to refer to but one more case.

The conjunctiva is a modification of skin, and frequently proclaims its ancestry by reverting to its original form. It is by no means a very rare event to see a patient having a patch of hair-covered skin growing upon the ocular conjunctiva. While a clinical assistant at the Royal Ophthalmic Hospital in London, we saw one such case, and Dr. Treacher Collins, the pathologist of that eye hospital, has stated that about twelve cases are seen there annually of this pathological condition, which is atavistic, according to Sutton, although it seemingly violates Gegenbaur’s rule about phylogenetic remoteness, and may be looked upon by some as a pathological illustration of a sport.

In speaking of inheritance, we should carefully discriminate between heredity and pseudo-heredity. Physicians constantly write of tuberculosis, lepra, smallpox, and syphilis as hereditary; but it is incorrect and misleading to do so. When a person has syphilis, say, from the earliest existence—that is, from the fertilized ovum by transmission of a syphilitic microbe through the germ cells of the parents—this should be designated by its proper name as congenital bacterial infection. This is totally different from the hereditary qualities that flow from the structural equilibrium following the commingling and struggle for existence of multitudes of hereditary units.

The one set of hereditary qualities is purely germinal, while the other is germinal profoundly modified by the presence of an infecting microbe. Of course, to the extent that any toxines that are secreted by the bacteria may cause permanent structural changes in the germ-cells, to that extent may the germinal characteristics be transmitted and become hereditary.

Many instances of infection of the child in utero have been reported in cases of endocarditis, scarlet fever, and smallpox; and there can no longer be any doubt, from experimental investigation and recent observation, that pneumococci, typhoid bacilli, anthrax bacilli, and pus cocci are able to pass to the fœtus through the placenta. But the diseases that develop in this way can be called hereditary with even less semblance of correctness than in the case of the fertilized ovum that is invaded with a microbe.