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negative. This case retrograded very rapidly; by the time I made my sketch, the ulcération had crept upwards and involved the edges of the cords. Aphonia came on, deglutition became difficult, and death came a little quicker than in the first case where the larynx did not become ulcerated. It is rarely that ulcération below the vocal cords is seen primarily.doi:10.1056/nejm190409221511204 fatcat:v3gpknroffg55hvovlgpjehevi