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To the Editor:
—Dr. Saul S. Samuels' article (The Journal, May 11, p. 1571) was read by me with much interest because of the fact that I had the right leg amputated in November, 1926, and the left leg amputated in November, 1927, both at the juncture of the lower with middle third of the thigh as the result of endarteritis obliterans—a similar condition to thromboangiitis obliterans—and was forced to desist from following my profession.Dr. Samuels' article is partially correct as far as objective observations are concerned in such cases but is far from correct so far as subjective signs are concerned, and I consider the latter the more important because in a majority of cases they lead one aright some ten years or more before the objective signs are demonstrable.I am 67 years of age, graduated in pharmacy at the age of 20, studied medicine at the
Whitsitt LM. EARLY DIAGNOSIS OF THROMBOANGIITIS OBLITERANS. JAMA. 1929;92(25):2122. doi:10.1001/jama.1929.02700510052032
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