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June 24, 1968

Hoarseness as the Presenting Symptom of Mitral Insufficiency

Author Affiliations

From the Department of Pediatrics, University of Minnesota Medical School, Minneapolis. Dr. Balfour is now with the Department of Pediatrics, Columbia University College of Physicians and Surgeons. New York. Dr. Ayoub is an investigator of the Helen Hay Whitney Foundation.

JAMA. 1968;204(13):1190-1193. doi:10.1001/jama.1968.03140260030014

Hoarseness was the only presenting symptom in a 14-year-old girl with mitral insufficiency. The onset of hoarseness before other symptoms of cardiovascular disease in this patient suggests that heart disease be considered in children presenting with persistent hoarseness.