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November 11, 1922


Author Affiliations

Rochester, Minn.

JAMA. 1922;79(20):1685. doi:10.1001/jama.1922.26420200001013

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Mrs. W. I. F., aged 38, who had been married for twenty years, but never was pregnant, came to the clinic for examination on account of paralysis of the hands. At the age of 3 years, she had had general convulsions; she had migraine headaches until the age of 16. Ten years before she had had an appendectomy and an operation on the ligaments of the uterus. Five years before she began having constant tremor of the upper extremities, which was rapid and of moderate amplitude; this had been growing in severity. She had always been nervous and irritable. Four years before she began to have nausea and vomiting. Roentgenograms of the stomach were said to reveal ulcer. The patient was placed on an ulcer diet for one and one-half years, and then on an anticonstipation diet. Six months later the vomiting became worse, and appeared almost daily. A full

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