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February 6, 1967

Foreign Body in the Trachea Causing "Asthma"

JAMA. 1967;199(6):435. doi:10.1001/jama.1967.03120060133040

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To the Editor:—  A young woman of 23 was referred in August 1965 for "asthma" which she had had off and on for a year and a half. The physician wanted skin tests. In March 1964, twenty months before, her head was hit and her jaw broken in an automobile accident, and she was unconscious for several hours. A few weeks after the accident, chest pain, a slight wheeze, and a troublesome cough developed. During the summer the cough subsided, but in the fall it came again, and in the year since then it had become continuous and at times almost unbearable.Physical examination, with studies of blood and urine, showed nothing wrong except a few transient rales in the chest on both sides. A series of chest x-rays was normal. Skin tests did show a positive reaction to ragweed, but the symptoms were not limited to or even worse