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Clinical Problem Solving: Pathology
April 2003

Pathology Quiz Case 1

Author Affiliations


Arch Otolaryngol Head Neck Surg. 2003;129(4):485. doi:10.1001/archotol.129.4.485

A 34-YEAR-OLD AFRICAN AMERICAN woman was intermittently seen by her local physician for oral bleeding over a 3-month period. She experienced tongue enlargement over several weeks that caused dysphagia and muffled speech. She denied any gain or loss in weight; however, she did have occasional difficulty swallowing. She had undergone no previous surgical procedures, but her medical history was significant for hypertension. Her medications included nifedipine, clonidine, and hydrochlorothiazide, and she denied any medication allergies. She did not use tobacco or alcohol at the time of presentation; however, she had used both chewing tobacco and cigarettes in the past. Her family history revealed no bleeding disorders. Her primary care physician referred her to our otolaryngology service for evaluation.