A Clinical Syndrome Following Exposure to Atomic Bomb Explosions

Paul D. Keller
JAMA. 1987;258(5):661-663. doi:10.1001/jama.1987.03400050103036.
Text Size: A A A
Published online


The information presented in this report was obtained from studies on 21 patients who were admitted to the Osaka University Hospital in late August and early September 1945 suffering from an alarming malady designated atomic bomb disease by the Japanese. I observed, examined and followed approximately half of the patients, while information on the remaining patients was taken from the hospital records. The patients selected for presentation do not include those receiving severe blast injuries or extensive external burns at the time of the explosion. Included are patients who received minor or no injuries or burns during those catastrophic days at Hiroshima and Nagasaki but who subsequently developed severe clinical manifestations, which in 5 instances resulted in death. Seventeen of the patients herein presented experienced the atomic bombing at Hiroshima, Japan, on August 6, 1945, while the remaining 4 were victims of the Nagasaki explosion on Aug. 9, 1945. The


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours




Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.