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March 28, 1908


JAMA. 1908;L(13):1032. doi:10.1001/jama.1908.25310390030003

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Patient.  —Ambrose G., American born, of German parentage, age 19, white, an ironworker.

Family History.  —Father living, fine physique and health, aged 45. Mother died at 30 from diabetes. (?) No brothers or sisters; no aunts or uncles afflicted with tuberculosis or cancer.

Personal History.  —Never ill, except with diseases of childhood. On Nov. 22, 1904, a small wine colored nevis was removed from the right temporal region at the margin of the temporal hair line, under local anesthesia. The wound healed fairly well, but would seep a watery secretion when irritated by cutting or combing the hair. General health excellent, a strong, well-knit, muscular man, height 5 feet 9 inches, weight 148.

History of Disease.  —On March 4, 1906, the patient came under my observation complaining of weakness in the legs and a feeling of uncertainty while at work, which he said was progressive. At times he would fall over

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