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July 22, 1916


Author Affiliations


JAMA. 1916;LXVII(4):276-278. doi:10.1001/jama.1916.02590040030007

History.  —Mrs. J. F. W., aged 39, housewife, married, was troubled with disturbance of digestion for five or six years. Her husband died of cancer of the stomach. Her father did not have a "strong stomach." Both the father and the mother were troubled with hemorrhoids. The mother had "similar symptoms to daughter," she declared. The mother had recently died of valvular cardiac disease. The father was living and well. The patient was born in Nagasaki, Japan, and lived there until she was 16. When a girl of 16 or 17, she had attacks of "gas in the bowels." She had pneumonia. She was a singer, a strong swimmer, and athletic. She married at 21, and had three children, and a strenuous married life for twelve years. One child died of diphtheria at the age of 6 years. In 1905 the patient was operated on for trouble with the appendix,

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