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September 24, 1982

Problems in Respiratory Medicine

JAMA. 1982;248(12):1514-1515. doi:10.1001/jama.1982.03330120068048

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How to handle children who are exposed to tuberculosis and how to treat their tuberculous parents are among the topics in this British physician's book. Sometimes British and American practices differ, but the similarities far outnumber the differences. Like us, Dr Forgacs considers nine months of multidrug treatment entirely adequate for all but the exceptional tuberculosis patient. Similarly, he finds relapse after antituberculosis treatment so rare that he does not recommend lengthy observation at a chest clinic.

Forgacs takes up the recognition and treatment of bronchitis, sarcoidosis, pneumonia, asthma, and cancer. He cites from prospective study of British physicians to emphasize the correlation between cigarette smoking and carcinoma of the bronchus. Unforturnately, few untreated cancer patients survive longer than a year after diagnosis. The cancer cells may secrete hormones that initiate endocrine disorders, aggravating the patient's suffering and hastening his end. Finally, Forgacs warns his reader not to mistake an