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April 27, 1912


JAMA. 1912;LVIII(17):1278. doi:10.1001/jama.1912.04260040294012

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Patient.  —A girl, aged 18, came to my office for examination, stating that she had never menstruated and that she suffered a great deal with headaches which were supposed to be due to the above cause.Her past history was negative as to illness, except measles and whooping-cough when a child. She had been a student and had returned home from college on account of the severe headaches which were worse about every twenty-eight days.

Examination.  —Patient was a healthy-looking, robust girl, refined and very intelligent. Her color was good; there was a heavy growth of hair on the head. Her voice was soft and effeminate; breasts well-developed, rather larger than ordinarily seen in a girl of her age. Her hips were typically feminine; mons veneris scantily covered with hair; labia majora normal; no enlargement of clitoris; hymen unruptured. On rectal examination no mass or uterus could be felt. A

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