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March 29, 1976

Legendary Disseminated Intravascular Coagulation

Author Affiliations

John Muir Memorial Hospital Walnut Creek, Calif

JAMA. 1976;235(13):1326. doi:10.1001/jama.1976.03260390012008

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To the Editor.—  Since Snow White and the Seven Dwarfs was last released for viewing seven years ago, considerable medical progress has occurred. The wicked stepmother, after formulating and preparing the apple, states "her breath will grow short and her blood will congeal, and I will be fairest in the land!" The efficacy of this pharmaceutical combination is well known and suggests that Snow White was one of the earliest surviving cases of disseminated intravascular coagulation. Still to be determined is which of the phlogistic agents used was the active ingredient or whether this was a particularly fortuitous drug combination. Important questions remain unanswered, however. Were other life-support procedures employed? How long did the state of suspended consciousness last?The therapeutic efficacy of the "kiss" has been known for centuries, but this is the first known instance of the dramatic cure of such a devastating disease by a putative prince.