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October 10, 1925


Author Affiliations

Santa Maria, Calif.

JAMA. 1925;85(15):1136. doi:10.1001/jama.1925.26710150003011c

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A man, aged 25, a Mexican, while working in the lettuce fields, noticed, July 10, 1925, an inability to talk, as if his tongue was paralyzed. He then became unconscious for a period of forty-five minutes. During this attack there was marked dyspnea. There was no frothing at the mouth; the eyes were closed; he did not bite his tongue, and there was no muscular twitching. All of these details were reported to me by the foreman, on my arrival.

I found the patient sitting up; there was some dyspnea. A hasty examination revealed nothing abnormal. The next day the patient came into my office, and a thorough examination disclosed the patient to be normal, except for several freely movable nodules about 1 cm. in diameter lying subcutaneously and apparently not attached to the underlying tissues. The urine was normal, and a blood smear showed the normal ratio. There were

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