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January 1952


Author Affiliations

12 W. Read St., Baltimore 1.

AMA Arch Ophthalmol. 1952;47(1):86. doi:10.1001/archopht.1952.01700030089011

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Papilledema associated with increased intracranial pressure in patient with Addison's disease. Spinal fluid pressure determinations and ventriculography not undertaken. Ultimate disappearance of choking. Thrombosis of intracranial dural sinuses probable explanation for ocular signs.

L. S. (J.H.H.560011), a white woman aged 20, had been anemic for five years after severe pyelonephritis. She had complained of episodes of headache, associated with vomiting, and excessive weakness for five months before she was seen by us at the Johns Hopkins Hospital.

Three months prior to our examinations it had been recognized that the patient had Addison's disease (chronic adrenal insufficiency), and she had been given desoxycorticosterone acetate (percorten®). During this time, because of severe headaches with vomiting, she had been twice admitted to the hospital. On the last such admission she had been given two blood transfusions and had not evidenced any immediate reaction to the transfusion. Her eyegrounds were said to be normal

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