FREDERIC B.ASKINMDWILLIAM H.WESTRAMD
AN 18-YEAR-OLD woman presented for the evaluation of snoring, mouth breathing, apnea, and halitosis. She also reported having had 2 episodes of streptococcal pharyngitis in the previous year. She denied dysphagia and shortness of breath. Her medical history was significant for asthma, which was treated with occasional use of an albuterol inhaler, and for serous otitis, which had required the placement of several sets of myringotomy tubes when she was a child. She also has a history of smoking. Physical examination showed a patent nasal airway and large cryptic tonsils. There was no cervical lymphadenopathy.
Hockstein NG, Carpentieri D, Shah UK. Pathology Quiz Case 2. Arch Otolaryngol Head Neck Surg. 2002;128(10):1210. doi: