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Article
May 4, 1907

HEMOLYSIS IN PERNICIOUS ANEMIA, AUGMENTED BY URINARY RETENTION.REPORT OF CASE.

Author Affiliations

First Assistant in Internal Medicine, University of Michigan. ANN ARBOR, MICH.

JAMA. 1907;XLVIII(18):1476-1478. doi:10.1001/jama.1907.25220440008001a
Abstract

An article on "Recurrent Intermittent Retention of Urine Occurring with Remissions in a Case of Pernicious Anemia"1 attracted my attention and led me to compare it with a similar case lately observed in the medical clinic of Professor George Dock. Dr. Cunningham's case was a male, aged 47, who had well-marked symptoms, physical features and a typical blood picture of pernicious anemia. In addition he had a history of retention of urine four years before, after which he was regularly catheterized for three months. At the time of his admission he urinated every two hours and was up more often during the night. In addition, difficulty in starting his urine and dribbling were complained of. Examination revealed a hypertrophied prostate, sufficient to cause frequent attacks of retention. Cystoscopic examination showed a chronic cystitis, and on draining the bladder as much as thirty-six ounces of residual urine were obtained. Bottini's

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