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October 26, 1940


JAMA. 1940;115(17):1475. doi:10.1001/jama.1940.02810430065027

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To the Editor:—  In the correspondence columns of The Journal, September 7, page 876, are communications from Drs. Henry R. Viets of Boston and Leo D. Freydberg of Granville, N. Y., commenting on the report of a case of myasthenia gravis which I made in The Journal, July 13, page 123. This gives me opportunity to clarify certain points, as well as to report further progress of the case. Unfortunately for the patient, but fortunately for me, he had a mild return of symptoms at an opportune time.Concerning the use of quinine, I accept the criticisms of Drs. Viets and Freydberg; their comments may serve to emphasize its contraindications in this condition. The unpleasant effects noted after two days of therapy were nausea, vomiting and ringing in the ears.Dr. Viets stated that the symptoms as given were consistent with the diagnosis but that it was not clearly indicated

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