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To the Editor:—
The communication by Dr. Katsilambros (JAMA178:513 [Nov. 4] 1961) on "Asymptomatic Enlargement of the Parotid Glands" failed to include in its references the most extensive and intensive study of starvation in the human ever made. I refer to the research done in the Warsaw Ghetto in 1942.In Athens the caloric intake was 1,000 to 1,500 calories daily, but in Warsaw the patients studied never had a caloric intake of more than 800 calories daily. Inevitably, mass starvation resulted, completely unrelieved until the final extermination of the inhabitants of the Ghetto in 1943. The research, published in Warsaw in 1946, under the title, Maladie de Famine, gives a wealth of information on the various phases of starvation.Concerning the parotid glands, Doctors Braude-Heller, Rotbalsam, and Elbinger state, on page 178 of the Maladie de Famine: "The increase in size of the parotid glands and the
Tushnet L. Enlargement of the Parotid Glands. JAMA. 1962;179(6):470. doi:10.1001/jama.1962.03050060080022
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