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September 18, 1937


JAMA. 1937;109(12):938-939. doi:10.1001/jama.1937.92780380002006a

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History.  —A girl, aged 8 years, was brought to the Roosevelt Hospital Jan. 14, 1936, with the history that she had been passing blood by the rectum for twenty-four hours.Three years before she had passed a copious amount of blood in a bowel movement and was taken immediately to a Brooklyn hospital, where she was kept under observation for five weeks. The mother was told at the time that the child was an easy bleeder. Since this one episode the child had been completely free from symptoms until the onset of her present illness.She had never bruised easily, nor had she ever shown petechiae or purpuric spots. There was no history of nausea, vomiting or abdominal cramps.Twenty-four hours before admission, and without any warning signs, she passed several large dark clots of blood and much black watery material in a bowel movement. The mother recognized it as a

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