Diseases of the Ear, Nose, and Throat and Their Accessory Carities (Paperback)

This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1898 Excerpt: ...remedies consult the sections on "Tuberculosis of the Pharynx" and "Tuberculosis of the Larynx." Syphilis Of The Nose. The manifestations of syphilis in the nose correspond to the three stages of syphilis occurring in other organs. It may be hereditary or acquired. In the former it appears either before the third month of childlife or between the third year and the beginning of adolescence. In infants the affection simulates coryza, but tends strongly toward suppuration. The discharge is more acrid and irritating than that of simple rhinitis, and produces a red and raw appearance of the upper lip. The borders of the nostrils are cracked and chapped. Xasal respiration is embarrassed, and, in consequence of the interference-with sucking, the babe is ill nourished and puny. If the disease attack the cartilage or bone, an offensive odor is imparted to the discharge. Fig. 163.--Destruction of the bones forming and supporting the bridge of the nose. The later form of hereditary syphilis presents manifestations of the tertiary form. It attacks the cartilaginous and osseous septum and then the turbinate bodies, and by carious and necrotic processes they undergo more or less complete destruction. The supports to the end and bridge of the nose disappear and the end may drop down toward the upper lip, or, if it remain supported by a remnant of the cartilaginous septum, the centre of the bridge may cave in and produce the exaggerated pug-nose deformity (Figs. 163 and 164). Diagnom.--With care one will be able to distinguish the obstinate, persistent, pus-producing rhinitis of a syphilitic infant from an ordinary cold in the head which in an uninfected child tends toward Bpeedy resolution. Mucous patches may be discernible in the nares and a papular ...