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March 17, 1900


JAMA. 1900;XXXIV(11):693. doi:10.1001/jama.1900.02460110053009

Especial attention ought to be called to the recent report of Stahl,1 of a remarkable series of cases of gangrenous dermatitis in typhoid fever. In 144 cases of typhoid fever 10 presented this, the rarest of complications. The dermatitis occurred in varying degrees of severity. Three of the 10 patients died. The trunk was the most frequent seat of the disease, but the face, the arms, and the thighs were also affected, and in the two autopsies held the scrotum was gangrenous. In one case a foot was lost. As regards the cause the facts at hand speak in favor of thrombosis and embolism. In two fatal cases there were infarcts in the kidneys and other internal organs. The grave anemia, the development of the gangrene after the severest period of the fever, the feebleness of the heart, arteriosclerosis in many of the cases—all support the theory of vascular

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