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August 16, 1930


JAMA. 1930;95(7):470-472. doi:10.1001/jama.1930.02720070008004

Case 1.  —April 15, 1919, there appeared at my office a woman, aged 34, complaining of excessive dryness of the mouth for the past eight years. For the past year there had been a discharge of pus from the mouth of Stenson's duct on the left and the same purulent discharge was now beginning from the duct on the right. There was no saliva or mucus, and deglutition could only be accomplished when the food was moistened with gulps of water, milk or coffee. There was no perspiration, even on exertion in extreme heat.Examination of the nose showed practically normal nasal fossae, with no suggestion of atrophy but with little or no secretion. The mouth was extremely dry with flocculent masses, resembling inspissated mucus, adhering to the mucosa throughout. The tongue was dry, cracked and somewhat inflamed. The nasopharynx was free. The teeth were in exceedingly poor condition in

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