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May 29, 1897


JAMA. 1897;XXVIII(22):1039-1041. doi:10.1001/jama.1897.02440220035010

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Considering the very frequent occurrence of that alarming complication of malarial infection, malarial hematuria, in certain parts of the United States and its study in these regions as carried out by capable practicing physicians (and also in Greece where this symptom is also commonly met with), it is a remarkable fact that the writers of text-books and " Systems of Medicine " are able to give us so little information concerning the disease from a pathologic standpoint and that they persist in recommending the use of quinin for its relief. A lack of knowledge of the pathologic process underlying this condition is perhaps the excuse for this distinctly erroneous and harmful therapeutic statement. Doubtless in the majority of instances the author of a text-book, or article in a " System," simply quotes the mistake made by a previous writer and so perpetuates the error. Of the recent writers who commend the use of

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