In this seminar by a member of the house staff of the Department of Pediatrics of the University of Colorado, attention is called to several interesting new and important observations regarding the clinical use of tetracyclines. In addition to the possibility of producing discoloration of the teeth, it is pointed out that the tetracyclines may produce a number of other complications including the "bulging fontanel syndrome," a "reversible Fanconi syndrome," and alterations of skeletal mineralization and growth. This seminar also reviews other recent developments and new knowledge concerning these drugs which should be of particular interest to the physician in practice and in training.