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To the Editor:
—I was much interested in the article on varicella and variola ("Prevention is Greater than Cure," Therapeutics, The Journal, March 13, 1915, p. 907). I wish to add my experience with these two diseases, as they are constantly present on the Mexican border, and my opportunities for study have been with 1,200 cases of the superficial and 160 cases of the deep eruption. The Vienna school is quoted as claiming that they are identical. There is too much stress laid on the location of the eruptions and the appearance of the patient in eruption.I find that varicella frequently shows in the scalp, palms, soles, tongue and buccal cavity. I have never seen it in the pharynx.Erysipelas sometimes is a serious complication, and there is even mild delirium in adults during a part of the days of eruption. The temperature is seldom above 103 F.Varicella
George D. Troutman. Experiences with Varicella and Variola. JAMA. 1915;LXIV(14):1180–1181. doi:10.1001/jama.1915.02570400062028