Nasal polypus with neuralgia, hay fever, & asthma in relation to ethmoiditis / by Edward Woakes.

  • Woakes, Edward.
Date:
1887
Catalogue details

Licence: Public Domain Mark

Credit: Nasal polypus with neuralgia, hay fever, & asthma in relation to ethmoiditis / by Edward Woakes. Source: Wellcome Collection.

Provider: This material has been provided by University of Bristol Library. The original may be consulted at University of Bristol Library.

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    with attacks of neuralgia or of asthma; the latter occurrence was specially insisted upon by Hyde Salter, and it has been noted by most writers on the subject. The author has usually found in the history of chronic asthmatic subjects an ante- cedent period in which hay fever was present, though it usually disappears when the graver ailment is established. Not however always is this so, for, as in the case of Mr. H , see p. 56, the attacks of asthma were associated with sneezing, flux of tears, and injected conjunctivae. Leaving for a moment all reference to the exciting causes of hay fever, it will be desirable to devote some pre- liminary remarks to what may be described as the persistent pathological state of the nasal organs in this disease. Dr. Daly of Pittsburg, U.S.A., was the first to publish any observed data on this subject, in 1881, when he clearly established the important fact that hay asthma was due in numerous instances to intra-nasal hypertrophies; and further, that the cure of these was followed by the dis- appearance of the disease. This position he ably supported at the International Medical Congress of 1884. Corrobora- tive testimony to the same effect was given on this occasion by Dr. Roe of Rochester; and numerous writers have since confirmed this view. At the same congress Dr. Bosworth of New York recorded the important case, in which a foreign body had been impacted in the nose for many years, and had given rise to hay fever over a period of eight years. Dr. Bosworth adds, The attacks disappeared on removal of the stone {Transactions of the Intertiational Congress^ eighth session, Copenhagen, vol. iv. p. no). A reference to the symptoms above described will show that the majority of them are vaso-dilator in character, while the sneezing is admittedly a sensory-motor reflex. With the recognition of the reflex relationship between the