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Abstract

M. A., a girl, aged 8, of German parents, referred by Dr. E. M. Adams of Gridley, Ill., gave the following history: She was one of four children, all healthy; the father and the mother were the same. The parents say that the child was a fat girl till 2 years of age, at which time she had chickenpox, and has not been well since. When Dr. Adams first saw the child she was pale, anemic, thin, very much undersized for her age, with an adenoidal expression, etc. The mother says the child has had regular bilious spells for two or three days at a time once every three weeks; she never had sore throat, but is a constant mouth breather.

Both tonsils were enlarged and submerged, the right paler than the left. The child was operated on in the usual manner under a general anesthetic for the enucleation of