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May 16, 1942


JAMA. 1942;119(3):286. doi:10.1001/jama.1942.02830200054020

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To the Editor:—  In the April 4 issue of The Journal appeared an article entitled "The Venographic Diagnosis of Thrombophlebitis of the Lower Extremities" by Dr. Arnold Starr and his associates. The authors describe a method of visualizing the deep venous system of the lower extremities as an aid in the diagnosis of thrombophlebitis. The technic that they use involves the injection of diodrast into a deep vein behind the external malleolus, which is found after making a small incison. This method is that of G. Bauer, who described it for the first time in the Acta chirurgica Scandinavica, published in 1940.The studies made by Starr and his associates are interesting and significant, but I should like to call attention to a somewhat similar method of visualizing deep venous thrombosis which I published in 1939. This article entitled "Unilateral Enlargement of the Lower Extremities Accompanying Varicose Veins, with Roentgen

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