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January 28, 1933


Author Affiliations

Battle Creek, Mich.

JAMA. 1933;100(4):257. doi:10.1001/jama.1933.27420040001011

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This case is reported because of the unusual complications following a phrenicectomy. A Horner's syndrome followed an attempt to cause paralysis of the diaphragm on the right side, as manifested by a narrowing of the palpebral aperture and miosis. This was later followed by an alopecia of the beard along the submaxillary space.

A white man, aged 36, a farmer, who had had spinal meningitis in infancy, without complications or sequels, stated that in 1918 he caught cold easily, had a persistent cough with increased sputum, weakness and dyspnea on exertion, and lost 20 pounds (9 Kg.). In 1920 he had pleurisy on the left side. A diagnosis of colitis with some evidence of ulceration, possibly tuberculosis, was made in 1930, after examination with the sigmoidoscope. Previously he had been in and out of many government hospitals for treatment of pulmonary tuberculosis.

In October, 1930, Dr. E. J. O'Brien did

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