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March 21, 1931


Author Affiliations


JAMA. 1931;96(12):967-968. doi:10.1001/jama.1931.02720380055031

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To the Editor:  —The discussion in The Journal (February 7, p. 459) between Dr. Blankenhorn of Cleveland and Dr. Loewy of London relative to the galactose tolerance test concerns a technic which we have studied for the past three years at the Jewish Hospital. Our conclusions regarding it are to appear in the Archives of Internal Medicine. I am in complete accord with Dr. Loewy, barring minor differences. I believe that the galactose tolerance test of Bauer stands today as our only positive means of identifying toxic hepatitis early, a condition whose identification becomes paramount in the painless (clinically obstructive) jaundice seen in persons past 30 or 40 years of age. Is it carcinoma of the head of the pancreas or silent stone in the duct or is it a so-called catarrhal jaundice? Should the patient be operated on early and spared the imminent danger of hemorrhage if operated on

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