April 1908, Vol I, No. III >

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ARTICLE | April 1908

TUBERCULOUS ULCER OF THE STOMACH, WITH REPORT OF A CASE.

THOMAS A. CLAYTOR, M.D.; W. W. WILKINSON, M.D.

Arch Intern Med (Chic). 1908;I(III):285-293. doi:10.1001/archinte.1908.00010010011002.

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According to Boas, three forms of tuberculosis of the stomach may be distinguished: the tuberculous granulomata (the rarest form), miliary tuberculosis of the gastric mucous membrane (the most frequent form), and finally tuberculous ulcer of the stomach.

The comparative rarity of tuberculous ulcer of the stomach may be gathered from the following facts: Hamilton,¹ in a careful study of the reported cases, was able to collect but 15 positive and 9 doubtful. Blumer² collected but 30 reliable instances. Arloing,³ in his classic thesis, gives 147, but he was not so discriminating as the writers mentioned above and included a number which they had rejected. In view of the generally accepted fact that tuberculosis of the stomach is practically always secondary to a tuberculous process elsewhere, the autopsy records on tuberculous patients is of value here:

It would appear from Arloing's collected figures that tuberculosis of the stomach

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CLAYTOR TA, WILKINSON WW. TUBERCULOUS ULCER OF THE STOMACH, WITH REPORT OF A CASE.. Arch Intern Med (Chic). 1908;I(III):285-293. doi:10.1001/archinte.1908.00010010011002.

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