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To the Editor.—
The article by Charles H. McGowen, MD, (237:673, 1977) reporting a case of Down's syndrome as the oldest Down's syndrome patient (death at 65 years of age) will undoubtedly be challenged by those who have spent much time working in well-run residential care centers.As a physician employed by The Brown Schools (PO Box 4088, Austin, TX 78765), I have had an opportunity to supervise the care of a male Down's syndrome patient whose birthdate is Feb 28, 1908, making him 69 years old. He is still alive and now resides at a nearby nursing home. I suspect that many physicians have encountered older patients with Down's syndrome in this day and time.
Cato PA. Prolonged Survival in Down's Syndrome. JAMA. 1977;238(14):1496. doi:10.1001/jama.1977.03280150066011