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December 8, 1894


Author Affiliations


JAMA. 1894;XXIII(23):859-860. doi:10.1001/jama.1894.02421280013001f

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A vascular disorder, probably dependent upon vasomotor influences, characterized by three grades of intensity.

Depew H., son of a physician; age 34; dark hair; gray eyes; height five feet six inches; weight 120 pounds. He is of a neuro-phlegmatic temperament. By avocation a farmer. His father a hale old man at 70; his mother in good health at 66. Had some uncles on the fraternal side who died with pulmonary tuberculosis, but no other hereditary disease traceable on either side. Had typhoid fever nine years ago, but so far as he knows fully recovered. Had the influenza three successive years, 1890, 1891 and 1892, and had tardy convalescence with each attack.

He first noticed these symptoms three years ago, which have gradually increased and affect the middle or ring finger of the right hand which, with the appearance of winter, is hyper-sensitive to cold, and with slight exposure feels numb

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