File:Diseases of the nose and throat (1903) (14782556702).jpg

Identifier: diseasesofnose00knig (find matches)
Title: Diseases of the nose and throat
Year: 1903 (1900s)
Authors: Knight, Charles H. (Charles Huntoon), b. 1849
Subjects: Nose Throat
Publisher: Philadelphia, P. Blakiston's son & co.
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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nfirmatory symptoms elsewhere in the body arepresent. A cutaneous eruption, posterior cervical or epitrochlearlymphadenitis, or some of the other well-known symptoms of sec-ondarv syphilis, may establish the diagnosis. The impairment ofgeneral health may be no more than might be reasonably expectedfrom the systemic disturbance unless the laryngeal lesions are soaggravated as to interfere with rest at night, or with comfort byday (Fig. 133). SYPHILIS OF THE LARYNX. 387 The so-called tertiary lesions of acquired syphilis are of much moreserious importance. They may begin in the deeper tissues or mayreach them by extension from the surface of the mucous membrane.They occur as gummatous tumors or infiltration and as ulcerationssuperficial or deep, resulting from disintegration of gummatous infil-tration. The latter present the form of circular or crescentic ulcers,with sharp elevated edges, sometimes undermined, surrounded by aninflamed areola. The color of the mucous membrane is somewhat
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Fig. 133. Superficial Lesions of Vocal Bands in Early Syphilis.(Schnitzler.) less red than in simple inflammations. The resultant deformityvaries with the degree of infiltration, the loss of tissue, or the disposi-tion and extent of cicatricial formations. The effect upon the voicedepends entirely upon the site of the lesion, whether upon the vocalbands themselves or at some point where the action of the intrinsicmuscles of the larynx is only slightly interfered with. Dypsnea maybe due to infiltration, cicatricial contraction, edema, or anchylosis ofthe cricoarytenoid joint. More or less cough is usually present, andthe expectoration is sometimes streaked with blood when an activeulcerative process is present. Deglutition may be impaired and pain-ful if an ulcer involves the margin of the glottis. There may be nocachexia or impression upon the general health unless swallowing isinterfered with (Fig. 134). In all therapeutics there is no more satisfactory and definite resultof treatmen

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