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April 1977

Progressive Spastic Paraparesis

Author Affiliations

Alter wetzlar weg 43 63 Giessen, West Germany

Arch Neurol. 1977;34(4):257. doi:10.1001/archneur.1977.00500160071017

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To the Editor.—  Relative to the article "Progressive Spastic Paraparesis and Adrenal Insufficiency" by Gumbinas and associates published in the October issue of the Archives (33:678, 1976), I take the liberty to add that in the article "Atrophie idiopathique des surrénales et sclerose combinée de la moelle épinière" by M. Bedivan, A. Negoescu, and O. Vuia, published in Revue Roumaine d'endocrinologie (6:239-242, 1969), the authors described the same pathological features as those found by Gumbinas et al. Therefore, I agree with the authors' conclusions that the appearance of adrenal insufficiency with spastic paraparesis is a distinct disease.

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