—A woman, aged 23, whose family history is unimportant, had had diphtheria, scarlet fever, and complicating nephritis in childhood; also sore throat a few times later on. As she grew up and went through school, her health was considered good. About eight years ago, she came under my observation through her mother, who was not satisfied with her frequently "feeling tired," and her worried appearance. An altered mitral first sound, coupled with her past history, suggested the possibility of a developing mitral stenosis. It did not permit her to finish school, and she rested during a long period of time. Gradually, definite cardiac signs of a mitral stenosis developed. In appearance, however, she improved; she gained some weight, went dancing, and assisted her father in his office. About two years ago, a mild attack of appendicitis laid her up for a week. She had apppendicular pains since on several
Lukin N. APHONIA FROM PARALYSIS OF THE LEFT VOCAL CORD. JAMA. 1923;80(25):1846. doi:10.1001/jama.1923.26430520001010
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