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December 2, 1911

So-Called Brill's Disease—A Correction

JAMA. 1911;LVII(23):1854. doi:10.1001/jama.1911.04260120044019

To the Editor:  —The editorial entitled "So-Called Brill's Disease: An Acute and Infectious Disease of Unknown Origin" (The Journal, Nov. 18, 1911, p. 1700), hardly interprets my conception of this disease, and it may tend to produce a wrong impression of what my own beliefs and opinions are. I do not consider the skin eruption as pathognomonic, because an erythema, similar to what this must be considered to be, occurs in other infectious diseases, viz., in measles, rötheln and in typhus fever. In fact, Peebles, as long ago as in 1835, pointed out the rubeleoid character of the eruption of typhus fever. I have no right to assume that the syndrome represents a "mild abortive type of typhus fever" which the editorial in The Journal gives as my opinion, because I have seen and known of typhus fever only as it occurs epidemically and endemically. During such prevalence of typhus