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Pathological Case of the Month
Lynn A. D'Andrea, MD
From the Department of Pediatrics, Section of Respiratory Medicine, University of Virginia Health Sciences Center, Charlottesville.
Arch Pediatr Adolesc Med. 1998;152:93-94.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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A 9-DAY-OLD boy presented to the pediatric emergency department with a 1-day history of intermittent stridor and difficulty feeding. The patient, a 2920-g infant, was born at 40-weeks' gestation following an uncomplicated pregnancy, labor, and delivery. He spent 6 hours in the newborn intensive care unit because of jitteriness and mild respiratory distress. The symptoms resolved except for an intermittent "squeaky, high-pitched cry." One day before admission to the hospital, he became increasingly irritable and also had decreased oral intake. Physical examination on the day of admission revealed an infant with soft, intermittent inspiratory stridor occurring during feedings or while quietly lying supine. The stridor resolved when he held his neck in a hyperextended position or when he was placed prone. A 1- to 2-cm, red-purple ulcerated mass over the right posterior soft palate and pharyngeal arch was seen. A radiograph of the lateral aspect of . . . [Full Text of this Article]
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