Atlas and abstract of the diseases of the larynx / by L. Grünwald ; authorized translation from the German edition by Charles P. Grayson.

  • Grünwald, L. (Ludwig), 1863-1927.
Date:
1898
Catalogue details

Licence: Public Domain Mark

Credit: Atlas and abstract of the diseases of the larynx / by L. Grünwald ; authorized translation from the German edition by Charles P. Grayson. Source: Wellcome Collection.

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    I'^ive tiionths ag(i he caught it bad cohl and becaiiio suddenly hoarse, lie also had pains radiating toward the right ear; the pains disappeared under jiotassiuni iodid and local ai)i)lication of mercurial ointment to the tliroat; the hoarseness, however, remained. At tiie present time there are at both angles of the month white, wrinkled c(jndylomafa, raised above the surface, not detachable, whicli do not bleed on being touched. On the inner aspect of the right thigh, over a vein, which can he seen and felt to be slightly thickened, there is a stripe-like, slightly abraded sore. In the larynx the right vocal cord appears not a little nar- rowed from the overhanging, liypertro])hied ventricular band, The latter i.s rough and yellowish-gray at the edge and on the stirface, especially in its posterior half. The movements of the vocal cords are uniform and sufficient. The nature of the disease is not easy to determine. The patient's age and the persistence of inttltration-]ihenomena in sj)ite of antiluetic treatment arouse a suspicion of malignant growth. But the fact that other syphilitic or postsyphilitic symptoms on the body (leukoplakia and psoriasis) have resisted the treatment argues against this tlieory. As it sometimes happens that just sucli chronic forms only heal a long time after the treatment has been discontinued, the diagnosis will depend on the subsequent course of the disease. Two months later the larynx had practically regained its normal appearance. We thei-efore had to deal with Eemains of Syphilitic Ulcers.