Fibrinous or membranous rhinitis and its relation to diphtheria / by H. Lambert Lack ; (communicated by Allan Macfadyen).

  • Lack, Harry Lambert, 1867-1943.
Date:
1899
Catalogue details

Licence: Public Domain Mark

Credit: Fibrinous or membranous rhinitis and its relation to diphtheria / by H. Lambert Lack ; (communicated by Allan Macfadyen). Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    six cases, and of Pluder, who also observed six cases. Some results and conclusions of these observers will be discussed later. The following is a brief analysis of the chief clinical features presented by the thirty-six cases which I have recently observed. 1. Sex and age.—Twenty cases occurred in girls and sixteen in boys. Their ages varied from 10 months to 15 years. Nine cases were in children under 4 years of age, twenty-four were aged 4 to 8 years inclusive, one was 9, one 11, and one 15. This proves conclusively that the disease is essentially one of childhood, although cases occurring in adults have occasionally been reported. 2. Season.—The cases varied much in frequency with regard to the season of the year; thus of twenty-four cases seen in the last year, from October to March 9 were seen, in April, May, and June only 1, in Jul}’^ .3, in August 6, and in September 5. Thus nearly half the cases were seen in the two months August and Septembei*, and looking through my case-book I find a similar result for the previous year. 3. Nasal ohstriiction was constantly observed, the affected nostrils or nostril being completely blocked. This was usually the most prominent symptom, and the one for which relief was sou«-ht. O 4. Nasal discharge was also constantly met with, but varied much in character and amount. In a few cases it was very slight and almost unnoticeable. In other cases a profuse, clear, watery discharge was constantly dripping from the nose. In other cases, again, the dis- charge was described as a thick yellow matter, or, rarely, as stained brown with blood, fi’owards the end of the disease “ bits of flesh ’’ were occasionally extruded from the nose. In every case in which I have examined the discharge microscopically pus corpuscles were lound in it, altliongli, as will appear later, the disease was then late in its course. The discharge Avas never foetid. 5. Bleeding from the nose occurred in about two thirds