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February 6, 1932


JAMA. 1932;98(6):499. doi:10.1001/jama.1932.02730320059029

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To the Editor:  —Dr. Sulzberger's comment seems to me both pertinent and interesting. During the last two years I have read with interest the articles of Barthel and Biberstein in the German literature. I have had the opportunity in a number of instances to do laparotomies on these patients and have in no case been able to demonstrate any change in the lymph glands either in the inguinal region or along the superior hemorrhoidal vessels or in the pelvis. It has been difficult for me to correlate the pathology of lymphogranuloma inguinale with the venereal strictures that we attempt to describe. In one typical instance of this condition, in which colostomy was necessary, a single ulcer developed in the transverse colon above the colostomy, resembling in every way the histologic appearance of the lesion in the rectum, and in this patient too there was no apparent change in the lymph

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