A manual of diseases of the nose and throat / by Cornelius Godfrey Coakley.

Date:
1906
Catalogue details

Licence: In copyright

Credit: A manual of diseases of the nose and throat / by Cornelius Godfrey Coakley. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    temperament. It is more commonly seen in the highly educated, overworked people in cities than among the inhabitants of country districts. It is somewhat more common in men than in women and in adults than in children, and it very frequently runs in families. As to the condition of the nasal mucous membrane which renders one susceptible to the exciting cause, it is difficult to say just what lesion most frequently predisposes to it. The following are some of the pathological con- ditions found in those who sutler from hay fever: hypertrophic rhinitis ; thickening of the septal mucous membrane at the juncture of the cartilaginous and bony portions; marked deviation of the septum; spurs (sometimes large enough to touch the turbinal tissues opposite); adhesions between the mucous membrane of the septum and that covering the turbinal bones; nasal polypi; and adenoids in the nasopharynx. One occasionally sees a sufferer from this disease in whom it is difficult to detect a pathological process at any portion of the nasal mucous membrane, with the exception of here and there specially sensitive areas, which, when touched with a probe, cause paroxysmal sneezing. As to the exciting causes, cases of hay fever may be divided into two classes: those which begin early in the season, the latter part of May and June, and the more common variety, which begins from the 15th to tlie 25th of August. There are some that begin be- tween these periods. The first class of cases is commonly known as rose fever, and is usually attacked about the time that roses are in full bloom, the pollen from which is usually the exciting cause. The August form of hay fever is gener- ally most marked during the time that the common rag-