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November 1954


AMA Arch Otolaryngol. 1954;60(5):618. doi:10.1001/archotol.1954.00720010633012

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A white girl, aged 13, was seen by me on May 18, 1953, with the complaint of hoarseness and voice weakness of two months' duration. Because she was a member of her church choir, her symptoms were particularly bothersome and prevented her from doing choral work. The onset of symptoms occurred on the third day of her first menstrual period, which had begun on March 15, 1953; the first three days of menstruation had been accompanied by swelling over her body, especially in the neck, left arm, and shoulder. This menstrual period lasted seven days and was otherwise normal.

Mirror examination of the larynx revealed the intrinsic muscles of the left side of the larynx to be immobile and the left true vocal cord in the position of adduction. Other findings on complete physical examination, roentgenograms of the chest, and routine laboratory procedures were all normal. No treatment was given,

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