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to the shoulders, back and arms. The attack would last sometimes for half an hour, at the end of which time the patient was utterly exhausted and covered with profuse perspiration. He had seen a number of physicians; first, a gastro-enterologist, who had put him through all of the gastro-intestinal tests, with negative findings. He was then under the care of a neurologist for several weeks, who treated him for a neuritis of the left arm. At the time 1 saw him the physical examination was quitedoi:10.1056/nejm192207271870409 fatcat:hmskqwrvqrbapko67y4kcbtn74