The more colorful historic name for tuberculous lymphadenopathy of the neck, "The King's Evil," began in the reigns of and Edward the Confessor in England (1042-1066) and derived from the belief that that these Royal Houses had a supernatural gift to cure scrofula by touching the sufferers. The formal practice in which the monarch touched the diseased subject. -as vividly described by Shakespeare in Macbeth (Act IV Scene 3), which included awarding the medallion touch-piece as a talisman for the supplicant -began with Louis IX of France (1226-1270) and Edward III in England (1327-1377). 14 *Baronet. FIG 1 Amyloid fibrils. (A) Transmission electron. microscopy (TEM) of a typical amyloid nodule, in which amyloid bundles are seen arranged in a radial fashion in the vicinity of the Kupffer cell (×12,000). Reproduced with permission from 3 Acta Pathologica Japonica 1977; 27: 809-822. (B) Schematic representation of amyloid fibril (above left) consisting of up of 4-6 protofilaments -each made up of contiguous ß-sheet polypeptide chains -wound around one another to form a 7.5-10 nm structure seen on TEM (×100,000 -below left). The ultrastructure of the fibril allows the regular intercalation of Congo red dye (above right), which confers a diagnostic optical property to amyloid such as apple-green birefringence under polarised light microscopy (below right). Reproduced with permission from 4 The New England Journal of Medicine 2003; 349: 583-596. (C) Electron microscopy of platinum-palladium shadowed amyloid fibrils that were sucrose gradient-separated from homogenates of liver or spleen, obtained at autopsy of patients with primary, secondary, or myelomaassociated amyloidosis (×70,000).