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Hugh H. Hussey, MD

JAMA. 1975;233(11):1195-1196.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

You might call them "the screamers"—youngsters 4 or 5 years old in whom vocal cord nodules develop, with consequent raspiness or hoarseness of voice when used loudly and at high pitch. Toohill tells about them in the current issue of the Archives of Otolaryngology (101:591-595, 1975).

The author describes 77 children; the number of boys exceeded that of girls by a ratio of 3:1. The peak age of incidence is between the ages of 5 and 10 years, with vocal cord nodules tending to develop in girls slightly earlier than in boys. Of the 77 children, one was an only child; 13 were the oldest in the families, and 63 had one or more older siblings.

Toohill believes that the vocal cord nodules in children are invariably bilateral, although he was able to discover nodules on only one vocal cord in one patient. Although a number of the children had . . . [Full Text PDF of this Article]

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