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Tropical Neurasthenia¹

The clinical picture of tropical neurasthenia is discussed and its diagnosis and treatment are outlined. Its similarity is shown to hypo-adrenia, or clinical adrenal deficiency, in temperate climates, whose etiology is associated with adrenal exhaustion from congenital or environmental causes. In the tropics, consideration of these same factors may lead to adequate prevention or cure, in at least one category of this disease. Unsolved questions are proposed whose solution is justified by the incidence and importance of tropical neurasthenia.

Received October 29, 1941.
¹ Read by title at the Annual Meeting of the American Society of Tropical Medicine, at St. Louis, Mo., November 12–13, 1941.