—A woman, aged 51, past the menopause, the mother of five children, without specific history or history of any special sickness, consulted me in April, 1909, in regard to a "bad feeling," as she termed it, which began about five years before observation (April, 1909). She had lived in the country and in small towns until the family moved to Houston about two years before the time of examination. She was not well nourished and had a "muddy" complexion. She showed marked deliberation in moving and answering questions.
General Treatment and Course of Disease.
—I considered the case one of neurasthenia and general debility; prescribed a course of tonic and upbuilding treatment, including the administration of glycerophosphates and Fowler's solution, the use of a nutritious diet, cold shower-baths, massage, exercise and a sojourn of a few weeks in the country. On the suspicion that there might be
HALEY WA. A CASE OF PELLAGRA. JAMA. 1910;LIV(10):791-792. doi:10.1001/jama.1910.92550360001001h