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Stanley I. Samuels, MD
Stanford (Calif) University Medical Center

JAMA. 1989;262(10):1327.

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In Reply.—

I was intrigued and somewhat concerned by Dr Trimble's failure to find any reference to the Dutch-Kentucky syndrome, since my initial review of some standard texts also failed to reveal the existence of this disorder.¹ On further exploration, I was relieved to discover that the syndrome was in fact alive and well. It was originally described in 1968.^2,3 However, it may be better known to your erudite readers as the trismus-pseudocamptodactyly syndrome or Dutch-Kentucky syndrome.⁴

The point I wished to make in my review of Anesthesia and Co-existing Disease was that the text discussed in fine detail the problems in anesthesia, ranging from the exquisitely rare (hence Dutch-Kentucky syndrome) to the more commonplace. I thank Dr Trimble's keen eye for helping to emphasize this point. I will leave the elucidation of the Dutch-Kennedy syndrome to others. . . . [Full Text PDF of this Article]

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