Myoedema in the 1930's

Alan R. Laurain, MD
JAMA. 1967;199(2):135. doi:10.1001/jama.1967.03120020129035.
Text Size: A A A
Published online


To the Editor:—  The letter from Drs. Lenthall and Donovan (Myoedema in the Detection of Hypoalbuminemia, 198:329, 1966) evoked in me a feeling of nostalgia for my youth—lost in the Great Depression of the 1930's. Boys and girls in those days often produced these "knots" with a sharp, karate-like blow to the biceps of an unsuspecting victim. It was commonly recognized that the "ridges" could be produced more easily in some individuals than in others. Furthermore, practitioners of this game knew that the size and duration of the welt was roughly proportional to the force exerted, that the muscle must be completely relaxed when the blow is delivered, and that everyone gets "lumps" if properly struck. Those who did not get them invariably had tensed the biceps in anticipation of the blow. This is why such individuals could be made to show this phenomenon only when stealthily approached and


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.