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JAMA 100 Years Ago
June 8, 2005


Author Affiliations

JAMA 100 Years Ago Section Editor: Jennifer Reiling, Assistant Editor.

JAMA. 2005;293(22):2804. doi:10.1001/jama.293.22.2804

The one persistent note in the important addresses at the recent meeting1 of the National Association for the Study and Prevention of Tuberculosis, in Washington, was the necessity, in the crusade against tuberculosis, for education—education not only for the public, but also for the medical profession. It was with regard to the early diagnosis of tuberculosis particularly that such authorities as Trudeau and Osler emphasized the necessity for progress among medical practitioners. The points in early diagnosis that were deemed of special importance can not but be of interest to all who recognize the value of the present movement for the eradication of the great white plague of the North. There is no one pathognomonic sign of incipient tuberculosis and no constant set of symptoms that can be depended on absolutely as indicating the presence of the disease in an early stage. The one thing necessary is for the careful practitioner to consider a number of symptoms and to recognize that the presence of even a few of them in the same individual must be considered as evidence of the existence of tuberculosis. Many of these early symptoms are, in themselves, of such slight significance that only careful attention will lead to their recognition and to the realization of their possible importance.

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