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August 26, 1974

Stocking Sucker's Syndrome

JAMA. 1974;229(9):1212-1213. doi:10.1001/jama.1974.03230470054029

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Well-written reports of unusual cases form the backbone of medical literature. They cause physicians to consider diagnostic possibilities that otherwise might never come to mind. Surely this is true for the report of a patient's history by Loeb and King in the current issue of American Journal of Diseases of Children (128:256-257, 1974).

Prelude.—  From the age of 14 months, a youngster had been seen repeatedly by various physicians because of episodes of "bronchopneumonia" or severe vomiting or both that would last four to six days and subside with symptomatic therapy including fluids administered intravenously. In 1970, at 5 years of age, the child had undergone an operation for what was said to be a hiatal hernia. Numerous x-ray film studies of the upper gastrointestinal tract had failed to show any abnormality of the esophagus or stomach.

Admission 1.—  Loeb and King first saw the patient in November 1972 at