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January 11, 1896


JAMA. 1896;XXVI(2):69-70. doi:10.1001/jama.1896.02430540021002g

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It seems to me that a form of dyspnea, which closely resembles spasmodic asthma and from which it seems at times impossible to differentiate it, as a symptom in aortic aneurism, is important enough to deserve especial notice. In the three cases I am about to report it was a prominent and distressing symptom while other symptoms of aneurism were rather obscure. Asthma from aneurism is no doubt caused by pressure on the pneumogastric nerve and is not always continuous as might be supposed, for in one of my cases the patient had only three attacks in all and these occurred at irregular intervals during the last two months of his life. In the other cases this symptom was continuous but with marked remissions.

In obstinate and persistent cases of asthma in elderly persons, aneurism should always be born in mind as a possible cause, for in the absence of

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