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April 30, 1955


Author Affiliations

Ponce de Leon Eye and Ear Infirmary Atlanta, Ga.

JAMA. 1955;157(18):1636-1637. doi:10.1001/jama.1955.02950350050024

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To the Editor:—  About eight years ago a woman fried and ate some catfish. While eating one of the fish she choked and had a severe paroxysm of coughing. She coughed almost incessantly that night. Following this she was at times reasonably free of cough for a few days, but often the paroxysms would recur, and sometimes she coughed up blood. Pneumonia was diagnosed several times, and once she was sent to a tuberculosis sanatorium for several months of observation. Several times the diagnosis of asthma was made, but the usual measures for the treatment of asthma were ineffective. Eight years after the onset of her cough she sought relief at the Ponce de Leon Infirmary. The first x-ray studies showed swelling in the soft parts posterior to the cricoid and upper trachea and some calcification that was considered to be in the cartilaginous structures. The lungs were clear. It

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