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May 18, 1907


JAMA. 1907;XLVIII(20):1673-1674. doi:10.1001/jama.1907.25220460029004a

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If for no other reason, I would appear to be justified in reporting a case of this extremely rare nervous disease, when the statement is made that this case was diagnosed as locomotor ataxia by as many as five physicians, some of whom reside in various parts of the United States.

Patient.  —J. K., white, married, aged 50, traveling salesman for Ferris wheels and merry-go-rounds, was examined Jan. 19 and 20, 1905. He has two children in good health, and has lost none. In the past ten years he has made seven trips to the tropics (Porto Rico, Cuba, Philippines, etc.), averaging about seven to eight months in each year in a tropical climate.

Family History.  —Negative. Mother living, aged 87. Father died of chronic bronchitis at 69. One grandparent died from an accident, one died at 85, one at 82 and one at 65. No history of tuberculosis or

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