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November 17, 1956


JAMA. 1956;162(12):1178. doi:10.1001/jama.1956.02970290074024

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To the Editor:—  In the Correspondence section of The Journal (162:425 [Sept. 22] 1956), Dr. A. G. Bower related his experience in the treatment of mumps orchitis, which coincides with our experience at the Philadelphia General Hospital, Northern Division. In search of a more effective treatment for mumps orchitis, in 1954 we started to use steroid therapy in an occasional patient on an investigational basis, with gratifying results. In 1955, all our patients with mumps orchitis were treated with cortisone, 200 to 300 mg., and later prednisone, 20 to 30 mg., orally daily for three to five days. It was found that pain and fever were relieved within 6 to 18 hours and that testicular swelling disappeared within three to four days. To prevent exacerbation of coexistent infection, steroids should be used with caution and whenever possible "covered" with an appropriate antibiotic. Response to steroids has been consistently better

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