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A woman, aged 52, was suddenly affected by pain immediately over and below the left tenth rib posteriorly. The pain was sharp and cutting, did not radiate, and was not affected by breathing. For the past five years the patient had been under observation for an elevation of blood pressure (systolic, 200; diastolic, 110); she had frequent headaches, a faint trace of albumin in the urine, no casts, a negative Wassermann reaction, a blood urea of 25 mg. per hundred cubic centimeters, a normal blood count, and normal stools. There was moderate tenderness on the left side over an area about the size of the hand, extending from the tenth rib down. The greatest tenderness seemed to follow the course of the last intercostal nerve. The impression was intercostal neuralgia.
The pain was controlled by acetylsalicylic acid during the daytime, but was worse at night, gradually increasing in severity until
Blanton WB. HERPES ZOSTER SIMULATING NEPHROLITHIASIS. JAMA. 1925;85(23):1811. doi:10.1001/jama.1925.26710230001012a
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