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PATHOLOGIC QUIZ CASE 1
J. R. CHANDLER, MD, MIAMI, FLA
A 10-year-old child was seen with a history of one week's hoarseness and difficulty in breathing of rather sudden onset accompanied by a slight sore throat and some stomach pain. Her mother attributed this to "hard playing" for one half hour just before symptoms developed.One year previously, there had been a similar episode. She had developed a sore throat accompanied by hoarseness and difficulty in breathing. She was hospitalized for treatment with a diagnosis of "croup." An emergency tracheotomy was necessary, which was complicated by an episode of severe bleeding from around the tracheotomy tube one week later. The tube was removed and complete recovery ensued. Her voice became normal and remained so in the 12-month interval.Examination revealed an apprehensive 10-year-old girl with an audible respiratory wheeze. Mirror examination of her larynx revealed a sessile red mass involving