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April 11, 1908


JAMA. 1908;L(15):1191-1192. doi:10.1001/jama.1908.25310410031003c

The following case, being unique in certain particulars, is well worth recording. Although the patient had previously been under my care, I had not the opportunity of seeing him during the illness briefly narrated below:

Patient.  —D. M., aged 59 years; occupation,commercial salesman; height, 5 feet 10 inches; weight, 160 pounds.

Family History.  —Parents both deceased, mother dying of "black measles," father of "creeping palsy" at 73 years. One brother died at 45, from acute articular rheumatism, complicated by endopericarditis and subcutaneous rheumatic nodules. Another brother, though living, has had severe acute articular rheumatism. Among maternal ancestors there is a history of several instances of tuberculosis.

Previous History.  —Had most of the diseases of childhood. At about 30 he had typho-malarial fever; at 41 had acute articular rheumatism. Four years ago he had a recurrence, and two years ago had the last attack. Dating from his first attack of acute