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May 1929


Arch Otolaryngol. 1929;9(5):547-548. doi:10.1001/archotol.1929.00620030573009

History.—A white woman, aged 65, married, who had no children and who had had one miscarriage at seven months, suddenly experienced difficulty in swallowing solid food about a year before I saw her. For the past six months she had been able to take only liquids and these slowly. There had been no regurgitation of the food and no spasm of the larynx. Warm drinks were swallowed much easier than cold. Her chief symptom other than her inability to swallow was a sense of constriction through the chest. For the past six months, a soft swelling had been present on the right side of the neck. By pressing on this, she thought that she could force food down. She had lost 30 pounds (13.6 Kg.) in the last eight months. There was no previous history of any pathologic condition of the chest. Three years before I saw her,

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