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Hiatus Hernia by W. W. Fox is a Health Professions article available to read on EtoBox.

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The authors take issue with me that those who inherit porphyria variegata and avoid the drugs that can precipitate an acute attack of porphyria remain in good health except for increased sensitivity of the light-exposed skin. The evidence for this is that the forebears of porphyric families in South Africa in the seventeenth, eighteenth, and nineteenth cen- turies had just as large families as average- and the average family was large, usually 8 to 15 children-which is why the porphyrics increased in number pari passu with the descendants of the rest of the small nucleus of early South African Free Burghers. If they were having attacks of acute porphyria and died from the attacks before the advent of modern drugs their descendants would not have increased as rapidly as they did. Furthermore, here in the Eastern Cape there is not a doctor with a general practice of any size who has not among his patients men and women who have inherited porphyria variegata, and they can confirm that their porphyric patients do not have attacks of acute porphyria except after taking drugs, usually a barbiturate. In my last letter I ended on the kindly note that their claim was " not proven." This tim

Who reads Hiatus Hernia?

Author

W. W. Fox

Publisher

BMJ Publishing Group; BMJ; London: BMJ Pub. Group, [2000?]- (ISSN 0959-8138)

Published

1968

Language

MS

Field

Health Professions (Health Sciences)