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Robert L. Cohen, MD; Dennis Oliver, MD; Cathy Pollard-Sigwanz, RPA-C
Montefiore Hospital and Medical Center Rikers Island Health Services Bronx, NY

JAMA. 1986;255(10):1289.

	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.—

The Montefiore Rikers Island Health Services routinely examines the majority of the inmates incarcerated in New York City, a population that includes a large number of drug abusers. A history, physical examination, purified protein derivative implantation, and white blood cell (WBC) count were performed on more than 11,000 adults from March 1983 to January 1984 in one of our facilities.

Report of a Study.—

Inmates initially seen with a WBC count of less than 3,500/cu mm were evaluated for anergy status. Two hundred sixty-two inmates were leukopenic (WBC count <3,500/cu mm), and 22 of them were anergic as shown by results of delayed cutaneous hypersensitivity skin tests. All of the 22 were intravenous drug abusers, 19 were heterosexual, and three were homosexual. All of the homosexuals were taking an estrogen preparation to maintain female sexual characteristics. Fifteen of the 22 had generalized lymphadenopathy (extrainguinal). In addition, we . . . [Full Text PDF of this Article]

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