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January 28, 1928


Author Affiliations

Michigan City, Ind.

JAMA. 1928;90(4):293. doi:10.1001/jama.1928.92690310002014b

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Mrs. E. P. R., aged 34, married, housewife, complained chiefly of swelling of the floor of the mouth, especially underneath the tongue. Mastication was painful at times, and there was slight pain at times radiating to the right ear.

As a child in school, she remembered slightly of having trouble of a minor nature underneath the tongue, and remembers of having expectorated small seedlike substances that seemed to exude from the under surface of the tongue.

Seven years ago she had three lower teeth extracted and about four weeks later she noticed a swelling under the tongue on the right side. It was painful and especially sensitive when she ate anything sour. This gradually subsided after she had worked a little stonelike substance from under the tongue, evidently a calculus.

Two years ago the swelling recurred and she consulted her family physician, who, after examining it, decided to

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