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May 1935

Konstitution und Tuberculose im Kindesalter.

Am J Dis Child. 1935;49(5):1393. doi:10.1001/archpedi.1935.01970050291031

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Klare is thoroughly persuaded of (1) the existence of easily recognizable constitutional types and (2) the significance of such types in the prognosis of tuberculous infection. He believes that whereas bacteriologic and roentgenologic study of the disease have been of vital importance in the evolution of present knowledge concerning it, one should revert to a more careful clinical examination of the patient. Combining the concepts of the new era with those of the prebacteriologic days, one will better be able to search for the explanation of the contradictory facts that whereas 90 per cent or more of all persons become infected with tuberculosis, only a small percentage become clinically ill and comparatively few (one in one thousand per annum) die of this disease. Whereas Klare's thesis is of some significance, the practical difficulty of defining a clearcut physical status and of reconciling the numerous exceptions to any given rule will

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