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November 14, 1908


JAMA. 1908;LI(20):1696. doi:10.1001/jama.1908.25410200044002b

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Patient.  —May 27, 1908, I was called to see W. B., male, aged 29.

History.  —The patient complained of impaired vision and felt certain that he was becoming blind. The difficulty had increased progressively for twenty-four hours, during which time he had been unable to read written or printed matter; he had also been obliged to give up his work at his office. Previous to this he had been well except for a slight pain in his right side and declared that he had not taken medicine of any kind for a year.

Examination.  —Both pupils were greatly dilated. They were equal in size but did not react to either light or accommodation. The eye-grounds were normal. The mouth and throat were dry and parched; the pulse was rapid and irregular and the skin dry like parchment. The patient was very nervous and seemed greatly worried about his condition. In

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