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W. M. Ruckle, M.D.
JAMA. 1917;LXIX(25):2139. doi:10.1001/jama.1917.02590520061025.
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To the Editor:  —Last week I had called to my attention again a condition which I have noticed in whooping cough and of which, so far as I have been able to find out, there has been no mention made. For a few years back I have been examining all the patients with whooping cough that I have seen, and I find an inflammation and enlargement of the lingual tonsil in practically every case. Since April, 1914, I have examined forty-three cases and in all but one there was this same finding in connection with other throat symptoms. It has been decidedly more prevalent than any other one condition in the throat, with the possible exception of an acute pharyngitis.Through The Journal I should like to ask other physicians to examine for inflammation of the lingual tonsil in their cases of whooping cough, because if this is a constant


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