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January 11, 1919


JAMA. 1919;72(2):138. doi:10.1001/jama.1919.02610020056023

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To the Editor:  —Apropos of Dr. J. G. Dwyer's article in The Journal, December 21, on "Focal Infections of the Eye from the Intestinal Tract," I recently had a case that illustrates the influence of gastro-intestinal toxemia in certain eye conditions:A girl, aged 18 years, consulted me in the middle of April, 1918, because of typical serous iritis of the right eye for which she had been under treatment two weeks at a local clinic. There were by this time slight iritic synechiae and some corneal infiltration. Examination of the heart and lungs elicited nothing abnormal. The teeth were in good condition. The patient had slightly buried tonsils; there was no exudate either on the surface or in the crypts, nor was there a history of frequent attacks of tonsillitis. The nose as well as the neighboring sinus cavities were evidently normal, at least clinically so. There was no

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