JAMA. 1911;LVI(10):738-740. doi:10.1001/jama.1911.02560100030013.
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Patient.  —M. D., a boy aged 4% years, was admitted to Mount Sinai Hospital June 14, 1910. He was the second of four children. The mother had had no abortions; father denied syphilis; the other children were all healthy. The delivery of this child was normal; it was breast-fed, and always well up to time of its present illness.

Present Illness.  —This began with an eruption four weeks before admission. This eruption was described by the father as a "red shine." At the onset there was fever but no vomiting. The duration of the fever was not noted, but the child appeared well enough two weeks later to be taken out and exposed to cold, which was followed by elevation of temperature, slight cough, generalized edema of the face and body and bloody urine. A physician, called in for the first time on the latter occasion, diagnosed the condition as


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