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September 1975

Resident's Page

Author Affiliations

The Methodist Hospital, Houston 77025

Arch Otolaryngol. 1975;101(9):584-586. doi:10.1001/archotol.1975.00780380062016

PATHOLOGIC QUIZ CASE 1  Mohsen Djalilian, MD, Lawrence W. DeSanto, MD, Thomas A. Gaffey, MD, Rochester, MinnA 58-year-old man noticed hoarseness and impairment of his sensation of taste. He had been in good health until September 1972, when he first complained of hoarseness. He was hospitalized for one week. No cause for his hoarseness could be found, and he was told he had idiopathic paralysis of the left vocal cord. By January 1973, his voice had returned to normal. The abnormality in his sense of taste became evident in December 1973, when he also complained of influenza-like symptoms. Hoarseness then recurred. He had lost 13.5 kg (30 lb) during the previous three months. There was no history of diplopia, ptosis, vertigo, or dysphagia. The patient was hospitalized again, for 15 days. Investigations included chest roentgenography, electrocardiography, electroencephalography, analysis of cerebrospinal fluid, brain scan, and thyroid function; the results were all normal. No cause for the symptoms could be found.When seen for the first time at