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October 13, 1883


JAMA. 1883;I(14):426-430. doi:10.1001/jama.1883.02390140018002

A Case of Chyluria in which Caseine was Detected in the Urine.  —The Moniteur Scientific for September contains the details of an interesting case of chyluria, by Dr. A. Livson, followed by a minute chemical study of the urine by M. E. Seger, pharmaceutist. The case was that of a woman, native of Normandy, and 27 years of age, unmarried. For some years she had suffered from cardiac troubles, severe neuralgia, shortness of breath and œdema of the legs, there existing insufficiency and disease of the mitral valves. Pulse weak and irregular. The menses formerly free and regular, became irregular, appearing every three months; flow in small quantity and very painful. Palpitation of abdomen showed apparently a body the size of an orange attached to the uterus. The kidneys sensitive to pressure over them and painful; urine red, depositing an abundant red substance, and varying in quantity between 800 and

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