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December 10, 1898


Author Affiliations

Professor of Medicine in the University of Denver; Visiting Physician, St. Luke's Hospital. DENVER, COLO.

JAMA. 1898;XXXI(24):1395-1398. doi:10.1001/jama.1898.92450240010002b

During a six years' experience with pulmonary tuberculosis in Colorado, with opportunities for continued observation of cases, I have been enabled to note the very frequent association with this disease of the various forms of functional nervous disturbance. The conviction has arisen that there exists a relation more intimate than is perhaps generally recognized between these conditions, which may be justly considered the two most prevalent of American disorders.

A brief review of my clinical observations suggests itself as a means of directing more attention to this relationship, in the hope that ultimately further researches may afford a clearer conception of the subject. Without attempting to introduce any physiologic considerations, I will simply present the result of my own experience with reference to etiologic relations, prognosis, climatic influences and management. It is with much hesitation that I submit this report, realizing only too well the opportunities for error in the