This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.
To the Editor:—
In the paper, "Ruptured Peptic Ulcer During Triamcinolone Therapy," in The Journal June 25, page 900, the authors neglected to mention that ACTH can be an extremely important cause of ruptured peptic ulcer, especially while the patient is receiving large amounts of aspirin. Because of this, the title of the case report seems to be a misnomer. Acute perforations are not uncommon following such a combination of therapy, and frequent use of non-absorbable antacids should be the rule.
Kadish AH. Ruptured Peptic Ulcer. JAMA. 1961;175(1):67. doi:10.1001/jama.1961.03040010069024