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May 1930


Arch Otolaryngol. 1930;11(5):569-579. doi:10.1001/archotol.1930.03560050043002

The clinical manifestations and pathologic changes produced by the aspiration of peanut kernels into the air passages have been the subject of many reports during the past decade. Patterson1 and Jackson and Spencer2 were among the first to call attention to the unusual type of bronchitis produced; the latter, at the suggestion of Rosenbloom, introduced the descriptive term, arachidic bronchitis (Arachis hypogaea is the botanical name for peanut), by which it is commonly known. There has been considerable speculation concerning the etiologic factors responsible for this reaction, which is so strikingly different from that produced by other types of foreign body, but no definite experimental work has appeared.

Within the past eighteen months, we have observed at the Strong Memorial Hospital six patients, three of whom died in spite of successful bronchoscopic removal of the peanut. We have therefore undertaken to study the cause, not merely as an interesting problem

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