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December 22, 1923


JAMA. 1923;81(25):2113-2114. doi:10.1001/jama.1923.26510250002011a

J. S., a man, aged 29, single, salesman, referred to me by Dr. M. H. Hazay, May 25, 1921, had never had urinary or any other disease. About three years ago his attention was called to the fact that the urine appeared bloody; since it caused him no inconvenience whatsoever, he did nothing to relieve the condition. The family history was negative. Recently he applied for a life insurance policy, and was rejected because of hematuria. The patient never had any renal colic, never noticed any gravel in the urine, and was free from any symptoms except the blood from the genitourinary tract.

Cystoscopic examination disclosed neither growth nor stones; the bladder mucosa was moderately engorged with both ureter openings perfectly normal except for the appearance of blood-tinged urine oozing from the two sides alike. Laboratory examination of catheterized specimens1 showed a large amount of blood present, but no