. Diseases of the throat and nasal passages; a guide to the diagnosis and treatment of affections of the pharynx, sophagus, trachea, larynx, and nares . more thickly studded with enlarged glands,though they are not as aj3t to be ulcerated as are those of thepharynx. The elongated uvula sometimes draws upon the anterior arches of the palate to suchan extent as to stretch the mucousmembrane free from the submucoustissue in the form of a thin semitrans-lucent border. At other times groupsof real vesicles will be observed onthe soft palate and the uvula, oftenin more or less linear arrangement one


. Diseases of the throat and nasal passages; a guide to the diagnosis and treatment of affections of the pharynx, sophagus, trachea, larynx, and nares . more thickly studded with enlarged glands,though they are not as aj3t to be ulcerated as are those of thepharynx. The elongated uvula sometimes draws upon the anterior arches of the palate to suchan extent as to stretch the mucousmembrane free from the submucoustissue in the form of a thin semitrans-lucent border. At other times groupsof real vesicles will be observed onthe soft palate and the uvula, oftenin more or less linear arrangement oneach side of the raphe. The tonsils,too, will have become irregularly en-larged, and often bear upon their sur-face superficial ulcerations, coveredwith a grayish or whitish secretion. Acommon appearance presented, whenthe affection is of long standing, isherewith depicted (Fig. 52), from a caseultimately cured. Extensive ulceration exists only in excep-tional cases, and that, perhaps, in subjects of the scrofulousdiathesis. The hoarseness, expectoration, and dysphagia, will all be in-creased in severity, and cough will be present in a greater or. Fig. 52.—Chronic folliculous pharyn-gitis. CHRONIC FOLLICULOUS SORE THROAT. 187 less degree. The larynx will be found to exhibit evidences ofchronic inflammation of its mucous membrane. (See ChronicLaryngitis.) In many instances the disease continues in this state for anindefinite time. Should it progress, the inflamed follicles ulcer-ate through the mucous membrane, the surfaces of the ulcersbecoming coated with turbid, tenacious layers of muco-puswhich trickle down the surface of the membrane. The anglesof the pharynx are quite prone to be the seat of ulceration, andthis sometimes extends along the walls of the pharyngo-laryn-geal or pyramidal sinuses, quite to the entrance of the oesopha-gus. The saccular glands at the base of the tongue, which areoften much hypertrophied, occasionally undergo ulceration inlike manner, as does als


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Keywords: ., bo, bookcentury1800, bookdecade1870, booksubjectnose, bookyear1879