PACHYNSIS

\pat͡ʃˈɪnsɪs], \pat‍ʃˈɪnsɪs], \p_a_tʃ_ˈɪ_n_s_ɪ_s]\
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1920 - A practical medical dictionary.
By Stedman, Thomas Lathrop
 
1916 - Appleton's medical dictionary
By Smith Ely Jelliffe