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February 16, 1918


Author Affiliations

(PHILADELPHIA) Major, M. R. C., U. S. Army; (PHILADELPHIA) Major, M. R. C., U. S. Army; (PHILADELPHIA) Lieutenant, M. R. C., U. S. Army FRANCE

From No. 16 (Philadelphia, U. S. A.) General Hospital, B. E. F.

JAMA. 1918;70(7):455-458. doi:10.1001/jama.1918.26010070005009b

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The usual classification of the disease known as "trench foot" is based entirely on a clinical picture. From this clinical picture also the attempt is made to deduce the etiology, and the nature of the most severe type of case is such as to seem to warrant the conclusion that the disease starts from the outside of the foot. Therefore the most common form of treatment is a purely local one.

We purpose to advance evidence which shows that the disease in all its forms starts from the interior; that the infections which often mark the course of the disease are but the natural secondary manifestations of the reaction of devitalized tissues to infective agents; and that therefore the treatment of the condition should be directed to the skin only so far as these secondary infections have resulted in surgical conditions.

We beg permission to present the line of reasoning

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