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September 23, 1933


JAMA. 1933;101(13):1017-1018. doi:10.1001/jama.1933.02740380053028

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To the Editor:  —It is difficult to answer the arguments of a physician who believes that hysteria may produce choked disk. We agree that the theory of focal infection is greatly overworked, but on the other hand, we think that there is much merit in the theory. Involvement of one large joint of the body is not uncommon in focal infection and we have seen a number of remarkable cures following the removal of foci of infection in cases of that sort. Is it unreasonable to say that a unilateral choked disk might be due to the same agent? We are aware that a negative blood Wassermann reaction does not rule out syphilis but we firmly believe that a negative spinal fluid and blood Wassermann reaction with the spinal fluid negative all along the line is indeed rare in a person suffering from active neurosyphilis. We do not believe that

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