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August 7, 1897


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JAMA. 1897;XXIX(6):278-279. doi:10.1001/jama.1897.02440320022001l

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I wish to report what has been to me an unusual and interesting case of varicose veins. The patient, Carl Mitchell of Arlington, Kansas, has been under my observation more or less constantly, on account of an intimate friendship, and near residence, during the past ten years, until I removed from the State, six months ago. He is now about twenty-six years of age, married, and by occupation a farmer. Until three years ago he was in perfect health, with the exception of a very obstinate acne vulgaris of the face, shoulders and breast, which still persists, although in a much modified form. His parents are both living and in good health. He has two sisters, living and healthy. He has never had gonorrhea or syphilis. Three years ago he was rather suddenly seized with pain in Scarpa's triangle, over the femoral vein of the left side, which was followed

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