In a recent clinical study of 451 patients with achylia gastrica, there were twenty-nine with definite evidence of combined sclerosis of the spinal cord. Of these twenty-nine patients, fourteen had pernicious anemia, one had pellagra, and in seven the observations were unsatisfactory or incomplete, leaving seven patients that form the basis of this article.
SUMMARY OF THE CASES
These seven patients with combined sclerosis of the spinal cord all received complete clinical and laboratory studies. The gastric analyses were made by the fractional method, one examination being made in Cases 4, 6 and 7, two examinations in Cases 1, 2 and 5, and seven gastric analyses were made in Case 3. Blood counts were made in all cases, together with a study of the stained smears, and showed no evidence of pernicious anemia except the late developments in Case 7. The Wassermann reaction on the blood serum was negative in
VANDERHOOF D. THE ETIOLOGIC RELATION OF ACHYLIA GASTRICA TO COMBINED SCLEROSIS OF THE SPINAL CORDTHE RELIEF OF SYMPTOMS FOLLOWING ADEQUATE HYDROCHLORIC ACID THERAPY. Arch Intern Med (Chic). 1923;32(6):958–971. doi:10.1001/archinte.1923.00110240151010
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