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L. W. DEAN, M.D.
JAMA. 1934;103(14):1044-1049. doi:10.1001/jama.1934.02750400012004.
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A study of the tonsil problem requires a consideration of all the lymphoid tissue in the pharynx. The palatine tonsils are, on a clinical basis, the most important of the lymphoid structures in the throat. However, the other lymphoid masses may be and usually are involved in throat infection. They must be given serious consideration if the influence on systemic disease of infection about the throat is to be eradicated. Certainly in removing the conditions about the throat that have a deleterious influence on such diseases as rheumatic fever, heart disease, Still's disease, chorea and hemorrhagic nephritis, it is impossible to get the most satisfactory result by confining the attention to the palatine tonsils or to these structures plus the pharyngeal tonsil. If in this class of cases following the removal of the pharyngeal and palatine tonsils the children suffer from acute exacerbations of their systemic disease, and if, as


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