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JAMA. 1911;LVII(25):1970. doi:10.1001/jama.1911.04260120160005.
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The following case is of interest for the reason that a careful search of the literature in the library of the New York Academy of Medicine did not depict one like it, and I have not heard one described. The condition may be designated as an abdominal wall-diaphragm habit, which had developed into a form of motor neurosis.

Patient.  —( Case referred by Dr. Neil O. Fitch, Astoria, Long Island) G. M., aged 17, seen July 27, 1911; is a high school pupil during the day and apprentice in a drug store evenings. Father died of apoplexy, mother well, two brothers and three sisters all well. Patient had measles as a child, several attacks of simple catarrhal colds, history otherwise negative; habits good, excepting that the patient ate rather heavily.

Present History.  —Beginning in his childhood, he contracted his abdomen from time to time as a boyish prank. At first,


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