A. L. BARACH, M.D.; H. A. MURRAY Jr., M.D.
JAMA. 1920;74(12):786-788. doi:10.1001/jama.1920.02620120012004.
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Early in 1919, Bassett-Smith1 reported a case of sprue in which tetany developed shortly before the death of the patient. The author stated that his was the first published account of this complication of the disease. As no similar reports have been found in the literature since that time, it was considered that this case might be of interest both on account of its rarity and because of certain significant features bearing on the question of the etiology of tetany.


History.  —R. W. C., an American medical missionary, aged 41, entered the private ward of the Presbyterian Hospital, Sept. 20, 1919, complaining of abdominal pain and diarrhea. As in all previous visits, he was cared for by Dr. David Bovaird. The patient had had measles and scarlet fever as a child; dengue in 1909, and bacillary dysentery in 1912. Since 1907, when the patient arrived


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