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JAMA. 1906;XLVII(12):936-937. doi:10.1001/jama.1906.25210120032002.
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Patient.  —A white woman, aged 55, was admitted to the Lucas County Hospital, Toledo, March 26, 1906, complaining of weakness and expectoration of blood.

Family History.  —The woman's parents died of "paralysis," aged 65 and 64, respectively. One sister died of typhoid fever. There was absolutely no tendency to bleeding in any member of the family, either immediate or collateral. The patient had five children, one of whom died in infancy. The other four children are alive, and with the exception of a low order of mentality in one son, show nothing of interest.

Personal History.  —The climacteric was passed at the age of 43, and neither then nor at her confinements was bleeding excessive. Her past life has been free from pathologic incidents, and with the exception of measles, "muscular rheumatism" and what she calls "eczema," there are no diseases to be recorded. The woman had once or twice


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