To the Editor.—We viewed with interest the case reports of Jenkins et al (217:177, 1971). We recently had a comparable experience.A 46-year-old Negro woman who was admitted to Thomas Jefferson University Hospital, Philadelphia, on July 5, 1971, after having indulged in many "scotches" late on July 3. She awakened on July 4 with mid-epigastric pain, and vomited eight times. This persisted until July 5, when she came to the hospital. There was no history of gastrointestinal disease, diabetes mellitus, or other metabolic disease. She had been in good health previously. Examination showed only some slight mid-epigastric tenderness, there were no stigmas of cirrhosis, and the liver to percussion was 8 cm in the right mid-clavicular line. Initial laboratory data showed a normal hemoglobin level and hematocrit reading, with 19,500 leukocytes and 90% neutrophils. Laboratory studies gave the following values: carbon dioxide, 8 mEq/liter; chloride, 96 mEq/liter; sodium,