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January 13, 1917


JAMA. 1917;LXVIII(2):116-118. doi:10.1001/jama.1917.04270010116014

Case 1.—History.  —K. Saito, a Japanese man, aged 44, had been in the United States for twelve years engaged in domestic work. He had not returned to Japan in that time. His family history had no medical significance. His complaints on admission to the medical clinic were headache, palpitation digestive disturbances and insomnia. He had no history of previous acute disease, and had always been in good health until five months previously, when he took cold and the present symptoms developed. Three years before he had been operated on for a fistula in ano which was cured and had not recurred. He had had no digestive disorder before the condition for which he now sought relief. His weight had not varied from 155 to 160 pounds for five years past.Physical examination showed a middle-aged Japanese, fairly well developed and nourished. His pupils were equal, medium regular, and reacted

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