COMBINED SCLEROSIS OF LICHTHEIM-PUTNAM-DANA TYPE ACCOMPANYING PERNICIOUS ANEMIA.

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Abstract
OF CASE BY DR. BROWN. I was first called to see the patient early in July, 1899. He had been in failing health, with varying periods of improvement for between three and four years. To about a year previous to my first seeing him, however, he dates his illness, but was able to be about attending to business until February. The principal point noticeable at first glance was the marked emaciation, and the peculiar color to the entire body; not the blood-cancerous cachexia, nor the anemia of Bright's disease, nor the bloodlessness of the tuberculous, but a brown-yellow color which I have never typically seen save in pernicious anemia. To rule out any other cause, however, a careful physical examination was made. The heart, aside from a soft basal systolic murmur, probably anemic in character, was normal, nor could anything wrong be detected in the lungs. The liver and

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