File:An American text-book of genito-urinary diseases, syphilis and diseases of the skin (1898) (14596113508).jpg

Identifier: americantextbook00bang (find matches)
Title: An American text-book of genito-urinary diseases, syphilis and diseases of the skin
Year: 1898 (1890s)
Authors: Bangs, Lemuel Bolton, 1842-1914 Hardaway, W. A. (William Augustus), 1850-1923
Subjects: Urogenital System Urination Disorders Syphilis Skin Diseases
Publisher: Philadelphia, W. B. Saunders
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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years. The dark spot oh the side of the nose is a necrosis from injections of arsenic. (Courtesyof Dr. G. W. Wende of Buffalo.) tumors are either distinct or they may coalesce ; to the touch they are hard,giving the impression of ivory. The covering of the growth is either of normal color or else of a lightreddish brown. Frequently a few dilated blood-vessels are seen running overthe surface; the affected skin is destitute of glandular structures. Pain isabsent, except on deep and firm pressure. The progress of the disease isslow, but continuous. When the process starts in the alse the nose is gradu-ally increased in size, until eventually it is broadened and great disfigurementresults. The nares become occluded from extension of the growth backward ;late in the course of the disease the posterior nares and palate may becomeinvolved. Cornil and Alvarez reported two cases where the larynx alone wasaffected, the nasal passages remaining free through the course of the disease. Plate 20.
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Rkinoscleroma (by permission of Dr. Freudenthal of New York). RHINOSCLEROMA. 1021 Subsequently, Ganghofner made a similar observation. Kaposi is inclined tobelieve that some of the laryngeal stenoses described under various names arereally due to rhinoscleroma. The growth never suppurates, except as a result of improper or meddle-some treatment, although sometimes fissures form about the angles of thenose, from which oozes a sticky serous fluid, which eventually dries into ayellow crust, Kaposi has observed small ulcerations on the soft palate whichbear some resemblance to syphilitic lesions in that location. The fissures andulcerations never show any sign of active inflammation and do not extenddeeply into the tissue. On cutting such a tumor one is struck by the facility -with which theknife enters, the tissue proving less resistant than might be expected from theexternal hardness. The wound made by excising a piece of the growthrapidly heals without any suppuration or tendency to br

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