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May 28, 1910


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JAMA. 1910;LIV(22):1784. doi:10.1001/jama.1910.92550480001001m

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My purpose is to call the attention of the profession in the northern states to the importance of being on the lookout for cases of hookworm disease. It is known that its natural geographical distribution is in the South and its practically complete absence in the North might cause it to be overlooked or diagnosed as one of the numerous other things, such as neurasthenia, which it so much resembles

While traveling in the southern states in September, 1909, through the courtesy of physicians in several places and at one medical meeting I had the privilege of seeing and examining several eases of hookworm disease and the adult worms, and of witnessing a microscopic demonstration of the ova. The knowledge of this disease thus acquired suggested the correct diagnosis in trie following case:

History.  —In April, 1910, a married woman, aged 32, consulted me, complaining of a gradual decline in

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