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The study is based on 554 cases of diphtheria occurring in a sanatorium for tuberculous children during the years 1926-1936. The author found that children suffering with frequent colds and children whose parents were susceptible to sore throats and respiratory infections had a higher incidence of diphtheria. The exudative lymphatic constitution predisposes to diphtheria. On admission, 74.8 per cent had large tonsils, 87.8 per cent had enlarged cervical lymph nodes, 59.8 per cent were of the narrow, skinny type of body build, and 39 per cent were children with blond hair and blue eyes. The intensity of the disease showed no definite correlation with constitutional factors. In connection with the question of prevention, it is interesting to note that about 50 per cent of the diphtheria cases occurred during the first thirty-four days after admission, 61.3 per cent within the forty-fifth day and 70.9 per cent within the sixtieth day.
Diphtherie und Konstitution. JAMA. 1937;109(13):1068. doi:10.1001/jama.1937.02780390070032
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