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A Comedy of Errors

A Comedy of Errors To the Editor:— In one of their statements about constitutional reactions being followed by a period of refractoriness, the authors refer to Vaughan's text of 1939, which like every other textbook of allergy assumes the efficacy of hyposensitization. The authors have concluded that "it is known" that injections below the constitutional reaction level also confer refractoriness. Their patient follow-up seems to have depended on evaluation by a lay study clerk. Great reliance was placed on symptoms reported by parents and on the number of antihistamine tablets they gave their children. Questions pertaining to accuracy of the symptom cards were referred to the physicians in the clinic who further questioned both child and parent. Nothing is said about physical examination or laboratory procedures. Observations on asthma had to be discarded the first year because patients did not understand that "difficulty in breathing" was supposed to mean asthma. There is no question http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

A Comedy of Errors

JAMA , Volume 196 (11) – Jun 13, 1966

A Comedy of Errors

Abstract



To the Editor:—
In one of their statements about constitutional reactions being followed by a period of refractoriness, the authors refer to Vaughan's text of 1939, which like every other textbook of allergy assumes the efficacy of hyposensitization. The authors have concluded that "it is known" that injections below the constitutional reaction level also confer refractoriness.
Their patient follow-up seems to have depended on...
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Publisher
American Medical Association
Copyright
Copyright © 1966 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1966.03100240159052
Publisher site
See Article on Publisher Site

Abstract

To the Editor:— In one of their statements about constitutional reactions being followed by a period of refractoriness, the authors refer to Vaughan's text of 1939, which like every other textbook of allergy assumes the efficacy of hyposensitization. The authors have concluded that "it is known" that injections below the constitutional reaction level also confer refractoriness. Their patient follow-up seems to have depended on evaluation by a lay study clerk. Great reliance was placed on symptoms reported by parents and on the number of antihistamine tablets they gave their children. Questions pertaining to accuracy of the symptom cards were referred to the physicians in the clinic who further questioned both child and parent. Nothing is said about physical examination or laboratory procedures. Observations on asthma had to be discarded the first year because patients did not understand that "difficulty in breathing" was supposed to mean asthma. There is no question

Journal

JAMAAmerican Medical Association

Published: Jun 13, 1966

There are no references for this article.