This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

THE SEVERE CHRONIC INTRACTABLE TYPE

I. S. KAHN, M.D.

Arch Intern Med. 1930;46(2):218-226.

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

It is with considerable temerity that I bring up this subject, probably the most difficult and disheartening in the whole domain of allergy. Still, it is one that all workers in this field occasionally have to face. I am referring to the ill, disabled person with chronic asthma—the chronic daily user of epinephrine, often in heavy dosages and often over a period of several years, with occasional exacerbations requiring the hypodermic administration of morphine, often for several days at a time. Nasopharyngeal operations have been performed, vaccines, pollen extracts and nonspecific therapy of all sorts have been employed, and various changes of residence and dietary measures tried, all to only temporary, partial or no avail.

The patients are usually over 20 years of age, ordinarily poorly nourished and in miserable general condition. Loss of weight is considerable, and hypotension is the rule. Physical examination usually shows no pathologic process other . . . [Full Text PDF of this Article]

Author Affiliations
SAN ANTONIO, TEXAS

Footnotes
Submitted for publication, Jan. 7, 1930.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?