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The records of this period refer either to absence of heart complications in the other forty-one cases, or to the occasional occurrence of quickening of the pulse rate and peri of locomotor ataxia was studied with especial reference to the condition of the heart, valvular lesions were detected in only four purchase out of one hundred and eight cases, and in no instance was he able to recognize the murmur of aortic insufficiency after muscular exertion, as described by Angel. This where view has, I tliink, been accepted by medical observers up to comparatively recent times.

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