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November 24, 1888

ARE "MEMBRANOUS CROUP" AND DIPHTHERIA IDENTICAL? YES.Read in the Section on Diseases of Children at the Thirty-ninth Annual Meeting of the American Medical Association, Cincinnati, May, 1888.

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JAMA. 1888;XI(21):732-734. doi:10.1001/jama.1888.02400720012001b

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Since the first paper of Bretonneau, about 1821, at which time our real and definite knowledge of diphtheria had its beginning, down to the present time, the question which forms the subject of this paper has not been decided.

Earnest students and careful observers have answered affirmatively and negatively. I shall not fatigue my hearers by collating the expressions of writers who have accepted one view or the other. I shall present my own opinions based upon a deliberate weighing of all the evidence presented by trustworthy and thoughtful witnesses, and personal clinical observation extending over a period of eighteen years in hospital and private practice.

During the earlier years of my professional life I was uncertain in my position; after reading the views of Virchow, Cohen, West, Flint, and others as able, I was inclined to take a position in the ranks of dualists. Severe scrutiny of the products

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