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April 2, 1955


JAMA. 1955;157(14):1205-1208. doi:10.1001/jama.1955.02950310031007

The "problem nose" child, as defined for this study, has chronic nasal symptoms persisting longer than three months; however, all problem nose children do not necessarily fall into this category. According to the terminology used, a problem nose child is one who has persistent nasal symptoms, such as discharge, obstruction, sneezing, or general symptoms as bronchitis, cough, low grade fever, and fatigue. These children are seen by physicians in everyday practice, but are not always considered as problems because the majority of them are not seriously ill. To the parent of the child with persistent nasal symptoms a problem does exist, and it is the physicians' duty to diagnose and relieve this child of the symptoms. Physicians know these nasal symptoms are due to infection, allergy, systemic condition, foreign bodies, or abnormalities in the nasal passages.

Griffith1 studied 5,000 patients who were sent to the hospital for removal of

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