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February 6, 1937


JAMA. 1937;108(6):492. doi:10.1001/jama.1937.02780060058022

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To the Editor:—  In view of the rarity of cases of subcutaneous emphysema complicating asthma as reported by Sheldon and Robinson in The Journal, Dec. 5, 1936, an additional case report may be of interest:S. R., a boy, aged 6, a home relief client, was seen Dec. 7, 1934, in an acute attack of asthma. He had been having paroxysms for the past year. The family history was negative for allergic disorders. The attack was relieved after exhibition of codeine, ephedrine and calcium, and the patient (because of financial conditions) was referred for study to an outpatient clinic. He was found sensitive to house dust, and desensitization was undertaken. The paroxysms diminished in frequency, and for seven months preceding the following occurrence he was free from symptoms.Nov. 3, 1936, he had a severe attack of expiratory dyspnea. The following day I was called because swelling of the face

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