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September 1, 1956


JAMA. 1956;162(1):65. doi:10.1001/jama.1956.02970180067026

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To the Editor:—  A native of Scotland, who has lived in the United States for many years, has been under my observation for about 10 or 12 years, principally for recurrent episodes of pneumonitis, which were presumed to be initiated by a chronic bronchiectasis. These attacks would occur at least every six months and seemed to be of increasing severity. The patient recalled that she always "took pneumonia" easily, and she remembered her chronic productive cough as ever-present from early childhood. In the interim she married and raised three children, submitted to a cholecystectomy for cholelithiasis and cholecystitis, and was hospitalized once for a bronchoscopic examination, which was not performed because she had no sputum after a period of observation of 48 hours. Since she has been under my care I have suggested many times that a bronchoscopic examination would be enlightening, but, for some reason not clearly understood at

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