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Previous Volume 344:1479-1480 May 10, 2001 Number 19 Next

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To the Editor: In his review of the diagnosis and treatment of acute pharyngitis in primary care (Jan. 18 issue),¹ Bisno assigns surprisingly little importance to the assessment and management of the substantial pain associated with this condition. Patients with pharyngitis come to physicians primarily for relief of the pain that affects them with every swallow. Since acute pharyngitis is generally a benign condition, many clinicians largely ignore the patient's main reason for seeking treatment, even though the pain may be intense enough to override the primordial instinct to drink.

Bisno recommends menthol lozenges and mild local anesthetics for "severe . . . [Full Text of this Article]

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