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To the Editor:—
In the paper by A. W. Danish and M. P. Landman, "Ruptured Peptic Ulcer During Triamcinolone Therapy," in The Journal, June 25, page 900, a statement was made that this was believed to be the first reported case of such an occurrence. In a paper by J. G. Smith Jr., M. F. Engel, and H. Blank, entitled "Triamcinolone in Dermatologic Therapy" (J. Florida M. A.96:960 [Feb.] 1960), the rupture of a silent peptic ulcer occurring after one week of triamcinolone therapy in a dosage of 16 mg. per day is reported.
Engel MF. RUPTURED PEPTIC ULCER DURING TRIAMCINOLONE THERAPY. JAMA. 1960;174(10):1348. doi:10.1001/jama.1960.03030100116037