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Frederick G. Novy Jr. Lieutenant Commander, MC-V(S); Joseph H. Ramsey Lieutenant
JAMA. 1944;125(10):738. doi:10.1001/jama.1944.02850280054020.
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To the Editor:—  It was with interest that we read Captains Wolkin, Goodman and Kelley's article "Failure of the Sweat Mechanism in the Desert: Thermogenic Anhydrosis" (The Journal, February 19, p. 478). The reason for our interest is that we have observed 2 patients who presented the same syndrome. These men, however, were not subjected to the hot dry climate of the desert but to the hot highly humid climate of the South Pacific.The first patient who came to our attention was a cook who had been in the tropics about seven months, where the temperature is high and the humidity is constantly near the saturation point. In addition to being exposed to this extreme heat, he carried out his duties as a cook. He was in good health and sweated in a normal fashion for the first six months. Then he noticed that in a short time he


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