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January 10, 1920


Author Affiliations


JAMA. 1920;74(2):82-83. doi:10.1001/jama.1920.02620020014007

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The case here reported presents the characteristic syndrome of Addison's disease, together with definite and conclusive necropsy findings confirming the diagnosis of this rare and unusual affection.


History.  —E. L., a Norwegian tailor, aged 48, entered the Easton Hospital, 8:30 p. m., Oct. 28, 1919, complaining of "liver trouble," and extreme and progressive weakness. There was nothing noteworthy in his family history. He had had mumps and whooping cough in childhood; his past medical history was otherwise unimportant so far as known. He had been in fairly good health until about six months before, when he began to experience constant muscular fatigue, independent of exertion, and to be subject to spells of faintness, dull headaches and pain in his shoulders. These spells of faintness were often accompanied by shortness of breath, palpitation, chilliness, nervousness and dull cerebration. There was little or no cough or sputum. He had

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