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January 27, 1940


JAMA. 1940;114(4):344. doi:10.1001/jama.1940.02810040054024

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To the Editor:—  In the answer to a query on "Arrested Tuberculosis," appearing in The Journal, Nov. 25, 1939, page 1983, there is a statement to which many physicians will take exception. It reads: "A patient who is given artificial pneumothorax treatment and has the area of disease under a good state of collapse usually is much safer from the standpoint of his associates and his own health than the person who has his disease brought under control by the defense mechanism of the body, aided only by a dieletic-hygienic regimen such as is practiced in a sanatorium or a hospital." The implication is that a person with pulmonary tuberculosis has a better outlook if his lung is treated by some form of collapse therapy than if his disease heals spontaneously. It would further imply that all forms of pulmonary tuberculosis should receive collapse treatment. There is no basis for

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