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There is no pronouncing at once; there is great tumefaction here.

Purpura, with profuse hemorrhages and a livid hue of the skin, is ominous; icteric discoloration, together with marked glandular and periglandular tumefaction, is absolutely fatal.

In one case the unilateral tumefaction and redness persisted, and were, in fact, accompanied by a general hypertrophy of the tissues.

Slight forms of structural aphonia are of a catarrhal nature, resulting from more or less congestion and tumefaction of the mucous and submucous tissues of the larynx and adjoining parts.

Inflammation, for example, is characterized by tumefaction, turgescence of the tissues, and redness.