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July 15, 1950


JAMA. 1950;143(11):1018. doi:10.1001/jama.1950.02910460076024

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To the Editor:—  In the editorial "Pheochromocytoma and Hypertension" (J. A. M. A. 143:183 [May 13] 1950) there is no mention of one important diagnostic contribution described in recent ophthalmologic literature. Extensive changes in the appearance of the retinas, characterized by alterations in the caliber and appearance of the vessels, with many flame-shaped hemorrhages, and numerous patches of "cotton wool exudate" comprise a picture which cannot be missed if looked for. Surprisingly enough, after surgical removal of the medullary growth these disappear to a large extent within the postoperative year.Since so many younger men are being trained in the use of the ophthalmoscope, it would seem that this contribution from ophthalmology should have found a place in your diagnostic summary.

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