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January 23, 1892


JAMA. 1892;XVIII(4):109-110. doi:10.1001/jama.1892.02411080019003

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To the Editor:  —In reference to your editorial remarks on diphtheria, in The Journal of December 19, 1891, we desire to say a few words.Of diphtheria you say: " Now that it has been settled beyond all cavil that the false membrane (italics mine) is the place of formation of the poisons which produce all the symptoms of this disease, it is clear that the time for interference is at the beginning of the trouble, and not after great extension of the membrane has made its destruction almost impossible. Therefore the time for diagnosis is early, and the first appearance of a false membrane in the throat, no matter how slight, no matter how mild, is the time to say ' diphtheria,' and to act accordingly."Now this cautious policy is all very good, as far as it goes —and it goes a long way—but it does not cover the case,

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