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Although pseudohypertrophic muscular dystrophy apparently is not considered in the medical literature until 1838, it seems possible that a patient with the disease may have served as a suggestion for a group of young dancers seen in the illustration. Of course some artists liked
RUHRÄH J. MUSCULAR HYPERTROPHY. Am J Dis Child. 1935;50(1):214. doi:10.1001/archpedi.1935.01970070223018