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March 24, 1923


JAMA. 1923;80(12):838-840. doi:10.1001/jama.1923.02640390026009

During the last few months the blood service at the Boston City Hospital has dealt with a number of cases of purpura hemorrhagica of a severe and acute type. Our methods of treatment have probably been about the same as those of other clinics, but a survey of the literature would seem to indicate that our use of transfusions has been more persistent and vigorous than is common elsewhere. Certain determining factors bearing on this subject, while they are common knowledge among students of the hemorrhagic diseases, still lack the universal recognition that the urgency of the disease demands. The object of this brief report is to emphasize these facts and to illustrate their bearing on the subject of transfusion.


  1. Hemorrhagic purpura is the result of a numerical decrease of blood platelets. It makes no difference whether we are dealing with a primary or an idiopathic case, whether