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Acute Hearing Loss, Dysarthria, Dysphagia, and a Rubbery Intraoral Mass in an 18-Year-Old Woman

Aitken, Leslie BA†; Levin, David DO*; Blau, Alexander MD†; Lewin, Matthew R. MD, PhD†

Pediatric Emergency Care:
doi: 10.1097/PEC.0b013e3181b0a482
Illustrative Cases

Rhabdomyosarcoma is the most common soft tissue tumor of childhood, frequently presenting in the head and neck, genitourinary tract, or extremities. We present a case of rhabdomyosarcoma in which an 18-year-old woman presented with abrupt onset unilateral hearing loss, tinnitus, dysarthria, dysphagia, and a new painless red bump on the palate. With an alveolar subtype and older age, both predictors of poor prognosis, early recognition of disease of these symptoms is vital.

Author Information

From *The Arizona College of Osteopathic Medicine of Midwestern University, Glendale, AZ; and †The School of Medicine, University of California, San Francisco, CA.

Reprints: Matthew R. Lewin, MD, PhD, Department of Emergency Medicine, University of California, San Francisco, Box 0208, 505 Parnassus Ave, San Francisco, CA 94143 (e-mail:

© 2009 Lippincott Williams & Wilkins, Inc.