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September 27, 1924


Author Affiliations

Kaunakakai, Molokai, Hawaii

JAMA. 1924;83(13):1020. doi:10.1001/jama.1924.02660130060031

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To the Editor:  —In Queries and Minor Notes (The Journal, August 9) Dr. Wilson of Kwangju, Chosen, Korea, describes a disease in lepers which he believes indicative of pellagra. In a paper read at the ninth annual meeting of the American Society of Tropical Medicine, at Atlantic City, June 3, 1912, I reported a case of pellagra in Hawaii, in a woman who at the time was or soon after became a leper. Some months later she was examined by Dr. G. W. McCoy, director of the Hygienic Laboratory at Washington, who pronounced her a leper.He was aware of the diagnosis I had made which, owing to the general acceptance of the "maize theory" of causation, and the fact that there had never been a known case of pellagra in Hawaii, made my diagnosis seem doubtful.The following is my clinical report:Mrs. K., aged 26, Polynesian, a housekeeper

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