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November 9, 1929


Author Affiliations

Fort Worth, Texas

JAMA. 1929;93(19):1468. doi:10.1001/jama.1929.27110190001011

T. T., a boy, aged 8 years, was admitted to the Baptist Hospital, Dec. 25, 1928, with the complaints of pain and cramps in the abdomen, bleeding from the bowels, weakness, nausea and vomiting, of four days' duration. The mother first noticed marked pallor, December 21, so that the child did not go to school. The following day the boy appeared weak, and laxatives did not give any relief. The pallor increased and Sunday, two days after onset, nausea and vomiting appeared. An enema was given Sunday evening; the return showed a large quantity of blood. There was a complete loss of appetite. The child had always been sickly and had frequent attacks of abdominal pain. Previous bleeding was not noted. There was no history of bleeders in the family, and no purpura.

The child was first seen, December 25, four days after onset. Examination at that time showed a

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