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November 15, 1902


JAMA. 1902;XXXIX(20):1256. doi:10.1001/jama.1902.52480460034002

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A year ago there came under my observation a case which I think of sufficient interest to report. It was that of a woman pregnant two months, the mother of three children, all living and in perfect health. Up to this time she had always been well. To all appearances her case the first days resembled a typical case of hysteria, but in a few days it was easily recognized as a case of dementia. As gestation increased so did the insanity. In the latter months she passed almost into a condition of stupor, talking to no one, refusing all food and did not even take care of her person; in fact, she had to be cared for as though a baby. She presented a pitiable sight and became very much emaciated. Labor came on at the usual time and was accompanied by hydrops amnii and complete uterine inertia. The

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