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March 1959

The Problem of Idiopathic Bleeding Time Defect in Laryngology

AMA Arch Otolaryngol. 1959;69(3):257-260. doi:10.1001/archotol.1959.00730030265001

The purpose of this paper is to call to the attention of laryngologists the condition of "idiopathic bleeding time defect" which Jacobson, working at the Massachusetts General Hospital, has described. In this paper I wish to give all credit to Dr. Jacobson for the hematological study of the disease and for his aid in its control. As I am a laryngologist and not a hematologist, I would like to quote from Jacobson's report on 100 cases,1 the following paragraphs in order to make clear the precise characteristics of idiopathic bleeding time defect.

"A number of these patients might be classified as persons with pseudohemophilia." In a footnote Jacobson objects to this term, as the condition in the patient with idiopathic bleeding time defect "does not resemble hemophilia in either the hereditary aspects, the sex distribution, or in the type of bleeding." "In brief, patients with this syndrome include persons

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