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March 9, 1918

Three Clinical Studies in Tuberculous Predisposition.

JAMA. 1918;70(10):724. doi:10.1001/jama.1918.02600100062036

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In 1904, the author noticed a consumptive who gave a history of having nasal obstruction; further observation of other cases gave rise to the generalization that nasal obstruction is a contributory cause of tuberculosis of the lungs. Three years later he noticed a few ichthyotics among his consumptives, and later still, a few cases of squint. He has noted that ichthyosis and nasal obstruction are overfrequent in connection with surgical tuberculosis, but is not so sure that the same relation obtains in reference to squint and tuberculosis. He reports twenty-three cases of ichthyosis out of 1,600 consumptives, besides quoting cases of Tommasolli, Lewin, Garkoin, Du Mesnil and others. He concludes that the existence of ichthyosis may conduce to the acquisition of tuberculosis. This study, while not convincing, is interesting and should direct the attention of phthisiologists to the skin conditions present in their patients; for the skin picture is all

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