Case 34402

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Abstract
Presentation of Case First admission. A nineteen-year-old unmarried secretary entered the hospital complaining of jaundice of four months' duration.Seven months before admission she was in bed for a week with a "streptococcal throat" and a maximum temperature of 103°F., which cleared up without chemotherapy. One month later she had a tooth extracted, followed by considerable bleeding. Five months before admission she had "trench mouth," with tender, bleeding gums. It responded initially to sodium perborate but later recurred. At about the same time she noted the onset of painless jaundice. Her physician advised a "fat-free" diet. She continued to work, . . .

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