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September 20, 1947


JAMA. 1947;135(3):180. doi:10.1001/jama.1947.02890030048024

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To the Editor:—  With reference to the case of "Allergic Peritonitis" reported in The Journal July 19, I do not think Sison and his co-workers are entirely justified in referring to it as "one form of allergy which has not been reported heretofore." In his monograph on "Food Allergy" in 1931 Rowe refers to a case characterized by acute abdominal crises found due to the ingestion of crab. At operation in one of the attacks there was found "diffuse congestion of intestinal coils with a considerable amount of gray sterile fluid." Fever, leukocytosis and the clinical signs of an acute condition of the abdomen had been present, but eosinophilia was apparently not noted.There is the classic instance, described by Cooke, of recurrent abdominal crises in a woman of 24 which had begun in infancy. In each paroxysm there was fever as high as 104 F., leukocytosis to 28,000 and

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