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February 24, 1906


JAMA. 1906;XLVI(8):591. doi:10.1001/jama.1906.02510350041016

There is no subject which so imperatively requires the attention of the general practitioner as the diagnosis of incipient tuberculosis. It is generally admitted today that, if the symptomatology be recognized early enough, the sufferer in most cases can be restored to health. Yet the pathetic fact remains that the disease is generally not recognized until it has passed the incipient stage. The committee on nomenclature of the National Association for the Study and Prevention of Tuberculosis has provided this definition of incipiency: "Slight initial lesion in the form of infiltration limited to the apex or to a small part of one lobe; no tuberculous complications; slight or no constitutional symptoms (particularly including gastric or intestinal disturbances or rapid loss of weight); slight or no elevation of temperature or acceleration of pulse at any time during the twenty-four hours, especially after rest; expectoration usually small in amount or absent; tubercle