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June 1, 1918


JAMA. 1918;70(22):1602. doi:10.1001/jama.1918.02600220024010

Among numerous lessons that the war has taught the medical profession, the importance of a proper recognition of certain forms of infectious jaundice must be included. Sufficient information is now available to make it seem unjustifiable for a careful clinician to utter an offhand diagnosis of ordinary catarrhal jaundice on the basis of simple icteric symptoms unattended by pain; for trench jaundice, as it occurs among the fighting forces, has directed attention anew to the widespread prevalence of an acute infectious disease characterized by malaise, prostration, and gastro-intestinal symptoms at onset, by fever of varying degree, and by jaundice of varying intensity and duration. In severe cases, bleeding from mucous surfaces and albuminurai are common. In moderately severe cases the rather high fever, marked prostration, and absence of local signs tend to exclude local disease of the biliary tract and present the clinical picture of an acute infection. It is