JAMA. 1907;XLIX(20):1673. doi:10.1001/jama.1907.25320200031003b.
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Having read with much interest Dr. Wynn's report1 of a case of acetanilid poisoning, I desire to give an experience somewhat similar which has come to my attention during the last few weeks:

History.  —Mrs. W., aged 45, presented herself at my office for treatment, with a history of general malaise, drowsiness to the extent of falling to sleep while sitting at her work, marked fatigue with little exertion, numbness in her lower extremities, with a certain degree of interference with locomotion, the symptoms having come on gradually during the last few months. She had attributed the condition to "change of life" or malaria.

Examination.  —There was a marked bluish-white palor and general puffiness of the skin, more marked below the eyes; her lips were of a dark blue color and the conjunctivæ a peculiar bluish-red. The nails were a blackish-blue and the veins beneath the tongue were greatly


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