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December 8, 1906


Author Affiliations


JAMA. 1906;XLVII(23):1918. doi:10.1001/jama.1906.25210230054002c

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I feel that I should apologize for presenting the report of a single case of a disease which can hardly be considered one of extreme rarity; yet this case has been of especial interest to me in view of its late diagnosis, coexisting conditions and etiology.

The patient was a boy of 19 months.

Family History.  —The parents were well advanced in years at the time of his birth, the father being 54 and the mother nearly 41. The mother had borne two other children, one a boy now living and apparently well at 17 years of age, the other a girl, who died at the age of 2 months. There was an interval of about 13 years between the births of the above mentioned children and that of the patient under consideration.

Personal History.  —He was apparently healthy at birth. He was nursed for two or three weeks, when

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