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April 22, 1939

TRAUMA AND DIABETES

JAMA. 1939;112(16):1592-1594. doi:10.1001/jama.1939.02800160056014
Abstract

The concept of traumatic diabetes virtually began with Claude Bernard's diabetic puncture. In the earlier literature, which is fairly extensive, appears a report by Asher, who assembled 124 cases and concluded that one was not justified in establishing a causal connection between trauma and diabetes by pathologic changes and physiologic results. Traumatic neurosis was introduced by Ebstein in 1892. A traumatic origin of diabetes was recognized by von Noorden in 1898. In general, authors considered that traumatic diabetes actually existed and that it was a neurogenic diabetes due to trauma in the central nervous system.

Somewhat later Stern felt that clinical observations gave rise to doubts because of the possibility that diabetes was present before the trauma and because the diabetes following trauma is indistinguishable from the diabetes occurring otherwise. Lépine thought that trauma must be considered in 5 per cent of cases of diabetes although noting too the question

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