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January 23, 1926


Author Affiliations

San Francisco.

JAMA. 1926;86(4):295-296. doi:10.1001/jama.1926.02670300056028

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To the Editor:  —With due consideration to Dr. Ayer's experience, it hardly seems justifiable for any man to generalize as he has done in either a positive or a negative way concerning a disease the characteristic features of which are as variable as those of poliomyelitis. It would be possible, if one were willing to take the time, to quote many references to show that Dr. Ayer's generalizations are based on a large experience, but that it is not possible to draw accurate deductions in connection with this disease from the observations of any one person or even from many case histories.In case 1, Dr. Ayer absolutely ignores the headache, the rigidity of the neck, the bilateral Kernig sign, the marked tremor and the rapid pulse, the first three of which symptoms he himself classifies as constituting "an important and almost constant triad of findings." In case 2 he

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