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January 28, 1911


JAMA. 1911;LVI(4):251-255. doi:10.1001/jama.1911.02560040019006

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At the St. Louis Session of the American Medical Association, June, 1910, the Section on Dermatology devoted Wednesday and Thursday mornings to the presentation of cases of pellagra and the discussion of that disease.

WEDNESDAY MORNING SESSION  Dr. R. P. Price, Nevada, Mo.: I take pleasure in presenting two patients, both inmates of State Hospital No. 3, Nevada, Mo. They were treated for some time before we were aware of the character of the disease. The first case began with malaise and loss of appetite, followed in a short time by diarrhea and stomatitis and inflammation of the backs of the hands; there was also a small girdle extending around the wrists. These symptoms were treated symptomatically with little avail. I put the patients on iron, quinin and strychnin, Fowler's solution, with fruits and lemonades every two hours. This seemed to clear up the symptoms for a while; however, they

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