During the first week of July, 1923, Dr. Maude M. Kelly reported to the State Board of Health of Virginia that in Hanover County she had seen a number of persons who had recently suffered from an illness characterized by an acute onset with epigastric pain, but which did not give the usual history of summer digestive disturbances. July 21, she reported similar cases in Caroline County, and an investigation was ordered by the commissioner of health. The objects of this investigation were, first, to determine whether an epidemic was present; second, to learn the essential features of the disease and to present them to the physicians of the state as promptly as possible, and, third, to study the history of the epidemic and to obtain all available information about the characteristics of its spread. These studies are necessarily incomplete, The description of the cases will show that any investigation
PAYNE GC, ARMSTRONG C. EPIDEMIC TRANSIENT DIAPHRAGMATIC SPASM: A DISEASE OF UNKNOWN ETIOLOGY, EPIDEMIC IN VIRGINIA. JAMA. 1923;81(9):746–748. doi:10.1001/jama.1923.02650090044013
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