0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

NONTROPICAL SPRUE WITH DUODENAL INVOLVEMENT AND TETANY

ROBERT B. RADL, M.D.; MADELEINE FALLON, M.D.
Arch Intern Med (Chic). 1932;50(4):595-604. doi:10.1001/archinte.1932.00150170087009.
Text Size: A A A
Published online

It is easy to distinguish several indirect effects of the introduction of the liver therapy in pernicious anemia by Minot and Murphy. The differential diagnosis between pernicious anemia and other obscure and severe anemias has been sharpened. The rôle of the gastro-intestinal tract in the pathogenesis of anemias has been stressed and the nutritional factor more strongly emphasized than during the preceding ten years of high tide of interest in vitamins.

The following study of a single case is presented because of the anemia, for some time looked on as pernicious; because of the spruelike disturbance of intestinal absorption and motility; because of the tetany resulting from this disturbance, and finally because of marked duodenal changes and their relation to the other symptoms.

REPORT OF A CASE 

History.  —Mr. A. J., aged 41, born in Wisconsin of Swedish extraction, is an unmarried farmer. He has never been away from the

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Also 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.
Your answers have been saved for later.
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.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();