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Correspondence
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Volume 339:926-928 September 24, 1998 Number 13
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Treating Unrelated Disorders in Patients with Chronic Disease

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 by Steinbrook, R.
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 by Redelmeier, D. A.
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To the Editor: Redelmeier et al. (May 21 issue)1 write, "Mother Nature has no mercy. As a consequence, the presence of one disease usually provides no immunity against others." This assumption underpins the methods by which they demonstrated that patients with one chronic medical problem are often undertreated for concurrent unrelated disorders.

Unfortunately, one of the examples they chose to investigate was the treatment of arthritis in elderly patients with psychotic syndromes. However, the occurrence of rheumatoid arthritis has been found to be negatively correlated with the occurrence of schizophrenia in 12 of 14 epidemiologic studies.2 Schizophrenia does appear to . . . [Full Text of this Article]

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