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December 1931


Author Affiliations


From the Department of Medicine, the University and Bellevue Hospital Medical College, New York University, and the Third Medical Division, Bellevue Hospital.

Arch Intern Med (Chic). 1931;48(6):1198-1202. doi:10.1001/archinte.1931.00150070136010

In 1926 we published a portion of a study of all the peptic ulcers recorded in 7,700 necropsy records in Bellevue Hospital.1 The part then published dealt with frequency, number, size, shape, location, color, sex and age. This article is a continuation of that study and will record the association of peptic ulcer with tuberculosis.

Fifteen years after Cruvelhier's original description of gastric ulcer, von Jaksch,2 in 1844, reported that of his patients afflicted with gastric ulcer one-fifth were tuberculous. Dittrich,3 the same year, mentioned a similar connection. Nine years later, Engel4 found 19 per cent. In 1864, Brinton5 quoted these figures but felt that the association of gastric ulcer with other diseases is "in proportion more akin to their known frequency, than to other of their circumstances." He pointed out that deaths from phthisis are rather more than 18 per cent of deaths from