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May 29, 1926


Author Affiliations

Cleveland Fellow in Medicine, Lakeside Hospital and Western Reserve University School of Medicine
From the Department of Medicine of Lakeside Hospital and Western Reserve University School of Medicine.

JAMA. 1926;86(22):1688-1689. doi:10.1001/jama.1926.26720480002008b

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This case is reported because it presented a difficult problem in diagnosis and because the character and sequence of symptoms are considered sufficiently rare to arouse interest.

A Croatian, aged 44, occupied as a general laborer in a nearby shipyard, came to the dispensary, Jan. 13, 1925, for relief from excruciating pains, of three weeks' duration, in the right side of the face. He had been perfectly well until Christmas Day, 1924, when suddenly he experienced in the right side of the face a severe, burning pain. He described this as a "hot, jumping toothache in every tooth in the right side." It lasted all day, with severe acute exacerbations, and was so severe at night that he was unable to sleep. During the night he noticed that he began to have intermittent pains in the right arm, originating in the shoulder and radiating down the posterolateral aspect of the

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