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In connection with the report of a series of troublesome and indeterminate cases recently observed and studied at the Alabama Hospital for (colored) Insane, the following account may be of interest:
—Male, aged 42. Family history, except for the occurrence of epilepsy in a sister, was negative. Patient's history, prior to his present condition, was one of good health. He was first seen on July 4, 1907, and stated that he had been ill with a sore mouth for two or three weeks. He had been employing various mouth-washes without relief and there had been a progressive increase in bodily prostration. Aid had been summoned to his home at this time on account of his weakness and inability to travel from his dwelling to town. He complained of seeing spots before his eyes, was dizzy and had nausea without vomiting. Bowel movements were regular, feces varying in color from
MERRILL TC. A SPORADIC CASE DIAGNOSED AS PELLAGRA.. JAMA. 1907;XLIX(11):940. doi:10.1001/jama.1907.25320110052003