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December 18, 1926


JAMA. 1926;87(25):2107. doi:10.1001/jama.1926.02680250065028

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Smelters' Fever  The disease of brass workers was first described by Blandet, in 1846, and at present is called "smelters' fever" on the continent. Of late it has been given some attention by Heim, de Balsac, Agasse-Lafont, Feil and others. A brass worker does his work as usual and appears normal, but as soon as he leaves the workshop or during the hour preceding closing time he feels prostrated, with muscular asthenia, chills, dyspnea and nausea. The temperature attains 100 F. During the night profuse sweating marks the end of the attack and the patient sleeps. On the following day he feels as fit to work as ever. A single attack is without danger, but repeated attacks disturb or prevent feeding, increase fatigue, produce emaciation and finally set up a true cachectic state. In order to diminish the risks of intoxication, the following measures are recommended: (1) the installation of

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