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November 3, 1883

MEDICAL PROGRESS.

JAMA. 1883;I(17):508-510. doi:10.1001/jama.1883.02390170016002

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Abstract

On a Peculiar Disease of Hot Climates.  — (Psilosis Linguæ—Psilosis Mucosæ Intestini). Under this heading Dr. George Thin (Practitioner, September) describes a disease, to which the local name of " Sprew " is given, which name is likely to mislead. Webster defines sprew as equivalent to thrush. Dr. Thin proposes the term psilosis as expressive of a constant feature of the complaint, the bareness or rawness of the mucous membrane. The disease prevails among the foreign residents in many of the Chinese ports, and the patient carries it home with him; or, being quite well during the course of the summer months, experience a recurrence of the disease when the weather becomes suddenly damp and cold.Its onset is marked by a morning diarrhœa of stools that consist of a watery, thin, straw-colored fluid, which causes slight debility, that passes off as the day wears on. This may continue for months, or

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