FREDERIC B.ASKINMDWILLIAM H.WESTRAMD
THE OTOLARYNGOLOGY–HEAD AND NECK surgery service was consulted regarding an incidental finding on a 24-year-old Liberian man with a history of β-thalassemia minor. He had been admitted to the neurology service for continuation of a spinal cord compression workup. Three weeks before he was transferred, he had been involved in a motor vehicle crash and subsequently developed progressive weakness in his lower extremities, along with urinary retention and constipation. He had no otolaryngological complaints. The results of his head and neck examination were normal. Hematology consultation and testing later proved that the patient had β-thalassemia major rather than β-thalassemia minor.
Kearney PR, Nasser A. Pathology Quiz Case 2. Arch Otolaryngol Head Neck Surg. 2002;128(1):76. doi: