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JAMA. 1913;60(17):1278-1280. doi:10.1001/jama.1913.04340170006002.
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The presentation of this case of congenital heart disease is possibly of academic rather than practical interest:

History.  —Mr. G. R., aged 35, was admitted to the University of California service in the San Francisco Hospital, for varicose ulcers of both legs. His father had varicose ulcers and veins at the age of 30, and one brother has varicose ulcers. According to the patient's mother, he was born at full term and was black until he was 6 weeks old, after which his complexion cleared. Clubbing of his fingers was first noticed when he was 8 or 10 years old. He has had measles, whooping-cough, and about fifteen years ago had "quinsy sore throat" during two or three winters. About a year ago he had facial erysipelas.The patient has been spasmodically a heavy drinker. He has noticed that the condition on his legs is worse when he drinks, and


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