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December 13, 1952


Author Affiliations

405 N. Bedford Dr. Beverly Hills, Calif.

JAMA. 1952;150(15):1512. doi:10.1001/jama.1952.03680150066029

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To the Editor:  —The article entitled "Hidden or Unsuspected Bronchiectasis in the Asthmatic Patient" by Drs. Overholt, Walker, and Woods in the Oct. 4, 1952, issue of The Journal is misleading to the medical profession. Despite Dr. Overholt's richly deserved preeminence as a thoracic surgeon, I must take exception to his criteria for a diagnosis of bronchial asthma from both the internists' and the allergists' viewpoints.Everyone who wheezes does not have asthma and should not be so labelled. Not one of the patients reported on in this article can be termed asthmatic. Today no one calls bronchogenic carcinoma, inspissated foreign bodies, tuberculous bronchial stenosis, or left heart failure bronchial asthma yet patients with any of these conditions may wheeze and have exertional dyspnea. In the cases reported, however, Dr. Overholt makes the same erroneous diagnosis.Symptomatic bronchiectasis is rare in my experience of bronchial asthma. In the older age

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