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December 24, 1887

A CASE OF CHRONIC PANCREATITIS, WITH SYMPTOMS RESEMBLING MALIGNANT DISEASE.Read before the Section for Clinical Medicine, Pathology, and Hygiene, of the Suffolk District Medical Society, November 9, 1887.

JAMA. 1887;IX(26):811-813. doi:10.1001/jama.1887.02400250011001d

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Mrs. B., age 62, widow, was first seen February 24, 1886. She was of medium height and weight, her skin was sallow, and her countenance haggard and anxious. Her habits of life were regular, and her hygienic surroundings good. She said she had been well till within the past three or four months, but more searching inquiry showed that her appetite had been very capricious for a number of years, and that during the last year she had lost strength and a moderate amount of flesh. Her diet had been mostly of the saccharine and starchy foods, as she had always disliked meat. For the past few months physical exertion of any kind had tired her out of due proportion, and during the last few weeks even moderate exercise had been followed by breathlessness and beating in the arteries of the neck. There was complete anorexia, and the bowels were

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