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Bevra H. Hahn, MD; Louis V. Avioli, MD

Arch Intern Med. 1975;135(12):1617-1621.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

DENNY Guletz, MD, Junior Assistant Resident in Medicine, Jewish Hospital of St. Louis, and Instructor in Medicine, Washington University School of Medicine: A 25-year-old woman was admitted to the Jewish Hospital for evaluation of a trance-like state. She had been in good health until several months prior to admission, when her private physician noted that she had a mild anemia that was resistant to iron therapy. Approximately three months before admission, the patient developed intermittent arthalgias and stiffness located mainly in her ankles, knees, hands, and elbows. The joints characteristically became warm, erythematous, and slightly swollen. In the two months prior to admission, a 9.1kg (20 lb) weight loss was recorded. One month before admission, the patient developed weakness and fatigue, and her husband noted she was listless and forgetful. She had several brief episodes of trance-like states, during which she would stare off into space, seemingly oblivious to her . . . [Full Text PDF of this Article]

Author Affiliations
From the Department of Medicine, the Jewish Hospital of St. Louis, and Washington University School of Medicine, St Louis.

Footnotes
Received for publication March 21, 1975; accepted March 31.

Reprint requests to 216 S Kingshighway, St. Louis, MO 63110 (Dr Avioli).

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