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Article
September 26, 1931

Les affections des voies digestives et les états de dénutrition dans la première enfance.

JAMA. 1931;97(13):955. doi:10.1001/jama.1931.02730130059048

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Abstract

This is an exhaustive dissertation on the gastro-intestinal and nutritional disturbances in early infancy. The author has long concluded that no classification except the clinical will satisfy the conditions found in the patient. Historically, he reviews and discards the etiologic, histopathologic and bacteriologic approaches to the subject. All must agree with such students as Marfan, Lasègue, Laënnec and Trousseau that pictures of disease composed of constant observations are necessary for reference and essential in establishing a common ground on which all workers may meet. Pertinent to pediatrics, for instance, is the clinical classification of the nutritional disturbances in early infancy which Finkelstein introduced. Even though subsequent metabolic and chemical studies have altered some of his original views, he has rendered a distinct service in formulating a tangible grouping on which all unprejudiced clinicians might agree. Most important to the patient was the fact that Finkelstein's classification defined the indications for

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