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W. F. Spence, MD
Group Health Medical Center Seattle

JAMA. 1978;239(18):1845.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

In his interesting article about Nicolo Paganini, Dr Schoenfeld describes how the artist lost his voice later in life and further suggested that this might have been due to enervation arising from his debilitated state. His chief theme, however, is that this was one of many indications that Paganini suffered from Marfan's syndrome and that some of his voice changes could have been due to recurrent laryngeal nerve impairment from an aortic aneurysm. Dubos and Dubos¹ also wrote about Paganini's health and thought that much of his trouble was due to tuberculosis. Besides having tuberculosis, Paganini was also syphilitic, which also might explain the musician's symptoms and behavior.

Dubos and Dubos¹ describe the great effort that Paganini had to make to be heard at all, and he even brought his son on stage and had him announce to the audience information that he had whispered . . . [Full Text PDF of this Article]

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