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August 15, 1966

Quebec's Medical Mystery

Author Affiliations

Laval University School of Medicine Quebec

JAMA. 1966;197(7):592-593. doi:10.1001/jama.1966.03110070116038

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To the Editor:—  With reference to the report "Quebec's Medical Mystery" (196, June 13, 1966, adv p 25), we were recently shown a documented series of 50 identical cases by Drs. James F. Sullivan, John Egan, and Paul McDermott from Omaha. This series was presented at the last meeting of the American Society for Clinical Nutrition. In addition, similar cases were also kindly presented to us by Dr. Carl S. Alexander in Minneapolis. We have reasons to believe that this new syndrome is occurring in other well-localized centers.Common etiological factors are at play in these geographically distant areas and to track them down we feel more series of this syndrome should be collected. The diagnosis, once attention has been drawn to its most impressive features, is generally easy to make, especially as these cases tend to occur in a relatively large number in a well-localized area.The patients are