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Article
April 9, 1904

A CASE OF ATROPHY OF HAND MUSCLESWITH LOCALIZED SENSORY DISTURBANCES; POSSIBLE EARLY SYRINGOMYELIA.

JAMA. 1904;XLII(15):941-944. doi:10.1001/jama.1904.92490600007001a
Abstract

The following case is reported because it possesses very interesting features:

History.  —Miss L., aged 27, consulted me first, Feb. 27, 1903, sent by her family physician because of a localized wasting of the thumb. There is no neuropathic family taint, nor has any myopathie disease ever been present in the family so far as known. Two other sisters were examined carefully with negative results. The girl is unusually tall and very slender. While tallness is a family characteristic, she is the tallest of all. Tuberculosis has not existed in the family, and patient is also free therefrom.Pain in the right arm has been noticed since her twelfth year. The arm has also seemed weaker at times than the other, but she has performed all the arduous duties of laundry and house work for many years. There is no history of the supervention of the pain and weakness after

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