RT Journal A1 AMBERG E T1 THumb-like excrescence on the tonsil JF Journal of the American Medical Association JO Journal of the American Medical Association YR 1909 FD October 30 VO LIII IS 18 SP 1485 OP 1485 DO 10.1001/jama.1909.92550180039002e UL http://dx.doi.org/10.1001/jama.1909.92550180039002e AB Mrs. C. S. H., aged 42, consulted me in June, 1909. The right tonsil showed a thumb-like excrescence at the lower posterior border. Before the tonsil was removed this excrescence annoyed the patient considerably. The patient coughed in the morning and as soon "as the air changed." On June 9 I removed both tonsils, in Harper Hospital, under local anesthesia, anesthetizing the surface, and also injecting in the usual manner into the surrounding tissues a 0.5 per cent. alypin solution in suprarenalin solution, about 1 to 10,000, which were sterilized by boiling. The tonsils were enucleated. The left tonsil does not show any excrescence. The patient seen in my office in September looks much better. She reports that the annoying local symptoms have disappeared and that her general condition is much better.270 Woodward Avenue.