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December 22, 1883


JAMA. 1883;I(24):692-696. doi:10.1001/jama.1883.02390240004001a

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[Read before the Section for Clinical Medicine, Pathology and Hygiene of the Suffolk District Medical Society, November 14, 1883]

There is, perhaps, no class of patients coming under der a physician's observation, which are more troublesome some than those cases of gastric and hepatic derangement due to the lithic acid diathesis, so-called. The functional disturbances are so associated with nervous phenomena, as to render the sufferer impatient and intractable, skeptical of your assertion that he has no serious organic disease, and ready to try every nostrum and accept every diagnosis but the true one from the numerous professional and lay friends whose sympathy he seeks.

Although lithæmia, lithuria, lithiasis, etc., have now become tolerably familiar terms to the profession, the whole subject still remains more or less obscure, especially the subjective semiology and the relative importance of the renal and hepatic pathology. The true nature of the affection often escapes

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