During the past few years the gynecologic staff of the Buffalo General Hospital has observed four cases of blood disease in which abnormal uterine bleeding was the first and most important symptom bringing the patient to the physician. Although this has been pointed out repeatedly (Virchow, Novak, Weibel and Kelly) it seems doubtful that its importance is sufficiently recognized. Additional examination of hospital records since 1925 has revealed a considerable group of hematologic cases in which irregular uterine bleeding was an outstanding complaint although not the one for which the patients consulted their physicians. It is my purpose in this paper to review these two groups of cases and to emphasize diseases of the blood and blood-forming organs as underlying causes in certain cases of abnormal menstrual flow.
A. BLOOD DISEASE IN WHICH ABNORMAL UTERINE BLEEDING WAS THE FIRST AND MAJOR SYMPTOM
—Mrs. D. G., white, aged 46,
KAHN ME. ABNORMAL UTERINE BLEEDING IN BLOOD DYSCRASIAS. JAMA. 1932;99(19):1563–1566. doi:10.1001/jama.1932.02740710007002
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