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February 12, 1955


JAMA. 1955;157(7):613. doi:10.1001/jama.1955.02950240051023

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To the Editor:—  A letter to the Editor on hyposplenism from Dr. Alexander S. Wiener of "Rh" fame, appearing in The Journal of Nov. 27, 1954, page 1273, contains a number of statements on which I would like to comment. It was Chauffard of Paris and not Doan who first called attention to "hypersplenism" (Bull. et mém. Soc. méd. hôp. Paris24:1201, 1907). Subsequently Morawitz, Naegeli, and Eppinger popularized the term. Years later, in the United States, Doan and I began writing about the various features of the syndrome. As for "hyposplenism," the term was actually first used by Schilling (Klin. Wchnschr.3:1960, 1924) and a number of others to describe the interesting blood picture that occasionally develops in sprue with splenic atrophy. Singer, Miller, and I (Am. J. M. Sc.202:171, 1941) also used this designation in 1941 to describe the blood picture in animals and

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