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March 11, 1911


JAMA. 1911;LVI(10):743. doi:10.1001/jama.1911.02560100035019

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Patient.  —An Austrian woman, aged 22, entered the Cook County hospital suffering from an intractable anemia and it was not until after her stools had been examined that the etiologic factor was discovered. She had lived in Boston until four months prior to admission. She had worked as a laundress; never used alcoholics; food was of poor quality; she ate in cheap restaurants. Fourteen months prior to admission the patient began to lose strength, and finally had to quit work; suffered with severe headaches, which were always in the occipital region. Her appetite was poor, and eating would nauseate her, and often caused vomiting, but she never vomited blood; had not vomited or even been nauseated for several months; the bowels had always been regular. The patient had had a slight bronchitis ever since the trouble began; had never been troubled with fainting spells or palpitation, although at times she

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