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November 25, 1939


JAMA. 1939;113(22):1982. doi:10.1001/jama.1939.02800470058023

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To the Editor:—  In view of the editorial in The Journal July 15, page 235, in which reference is made to Dr. Trigo Arce having reported clinical cases of verruga peruana in the Yungas in 1935, it might be in order for one who has now spent nearly two years of continuous practice in the Yungas of Bolivia to give a little report on the possible presence here of this disease. I have not had an opportunity to communicate with Dr. Trigo Arce before making this report."Septique" or "tzerktiti" is one of those sneeze-cough-and-spit Aymara Indian words, and I would suggest that any one with false teeth trying to pronounce it for the first time do so in private. "Septique" or "tzerktiti" is used commonly by the Indians as the name for yaws or frambesia. Of course they do not always make exact diagnoses and at times may apply

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