May 17, 1930


JAMA. 1930;94(20):1620. doi:10.1001/jama.1930.02710460074029

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To the Editor:  —I have just read with great interest the article of Dr. Arthur H. Curtis entitled, "A Cause of Adhesions in the Right Upper Quadrant" (The Journal, April 19, p. 1221). In the course of the past fifteen years I too have observed lesions identical with or similar to the type described by him. These adhesions have been observed not only in females but also in males; more commonly in the former, however, probably because of the fact that many more operations were performed in the female sex. It has been my impression, and I have so taught, that such adhesions, if not caused by syphilis, are usually seen in patients who have been the subjects of that disease.While I respect the judgment of Dr. Curtis by reason of his large experience and keen powers of observation, his conclusion that such adhesions are due to gonococcic infection

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