The Journal of laryngology and otology (1887) (14778716461)

Identifier: journaloflaryngo14londuoft (find matches)

Title: The Journal of laryngology and otology

Year: 1887 (1880s)

Authors:

Subjects: Ear Nose Throat

Publisher: London (etc.) Headley Brothers (etc.)

Contributing Library: Robarts - University of Toronto

Digitizing Sponsor: University of Toronto

Text Appearing Before Image:

, and late forms are recorded even after twentyyears of age. The appearances correspond to the symptoms whichcharacterize the common tertiary form of the disease, but are lessdefinite, so that sometimes it is quite impossible to form an exactdiagnosis from the appearances. These have to be supplementedby a full consideration of the history of the family and the historyof the patients general condition and previous illnesses. The little girl whose photograph is here reproduced firstcame under my observation when she was six and a quarter yearsold. She was brought for an attack of subacute otitis media,from which she soon recovered. Shortly afterwards (September,1897) her mother returned with her, complaining that the mucusfrom the childs nose was thick, and that the bridge of the nose wasbecoming depressed. Nothing was found in the nasal fossae, exceptsome dry rhinitis, and the change in the configuration of the bridgeof the nose was so slight that it could not be appreciated by anyone

Text Appearing After Image:

August. 1899) Rhinology, and Otology. 397 except the mother. At that date the child had all her temporaryteeth, and nothing amiss was noticed with them. Unfortunately,the family history was not inquired into. The case was seen inconsultation with a colleague, but regarded simply as one of earlyatrophic rhinitis. It was treated with alkaline nasal lotions, andthe syrup of the iodide of iron. The patient disappeared from observation, and only came undernotice again in February, 1899. She was then seven years andnine months old, and during the interval had shed her temporaryupper incisor and canine teeth. These had been replaced only bythe two central incisors. These latter presented incontestableevidence of congenital syphilis. A reference to the photograph willshow how typical they are of Hutchinsons teeth. The charac-teristic peculiarities are that they are dwarfed ; the portion of theupper jaw from which they grow is stunted in its development,giving a certain under-hung appearance ;

1887 books book illustrations syphilis medicine sexually transmitted diseases and disorders diseases congenital abnormalities otology ears images from internet archive canada

1887

University of Toronto

http://commons.wikimedia.org/

public domain