Oral surgery; a text-book on general surgery and medicine as applied to dentistry . erculous lesions of the face ormouth is of undoubted value and should be used as soon asa diagnosis has been made. Many cases of lupus vulgarisand tuberculous ulcerations melt away under the rays prop-erly focused. Dr. Richard L. Sutton reports a very interesting caseof recurring necrosis of the gingival mucosa, and drawsthe following conclusions: Although it is not possible to generalize from the datasecured in a single case, the following deductions may safelybe drawn; Periadenitis mucosa necrotica recurrens
Oral surgery; a text-book on general surgery and medicine as applied to dentistry . erculous lesions of the face ormouth is of undoubted value and should be used as soon asa diagnosis has been made. Many cases of lupus vulgarisand tuberculous ulcerations melt away under the rays prop-erly focused. Dr. Richard L. Sutton reports a very interesting caseof recurring necrosis of the gingival mucosa, and drawsthe following conclusions: Although it is not possible to generalize from the datasecured in a single case, the following deductions may safelybe drawn; Periadenitis mucosa necrotica recurrens is a chronic TUBERCULOSIS OF THE MOUTH 215 recurring necrotic granulomatous affection of the lingualand buccal mucosa. Pathologically, the disease is charac-terized by an intense inflammatory process in the periglan-dular tissues, with ensuing necrosis, and separation of thecentral part of the affected area. It is probable that the disorder is tuberculous in ori-gin. The course of the disease strongly points to a long-standing, general intoxication, which periodically gives rise. i E -^ i| ^H^r^^ IK AH ] Fig. 62.—-Periadenitis Mucosa Ne-CROTiCA Recurrens. Mature lesionon tongue (plug was thrown offtwelve hours later.) (Sutton, Jour-nal of Cutaneous Diseases.) Fig. 63.—-Periadenitis Mucosa Ne-CROTiCA Recurrens. Depressionleft by a recently detached plug. Thecondition of the gums also is shown.{Journal of Cutaneous Diseases.) to acute local manifestations, intensely inflammatory incharacter. Illustrative Case.—The author herewith reports anothercase of this very rare ulceration. A man, aged thirty-one,has a family history which is good, with the exception ofone sisters dying with tuberculosis. The patient has al-ways been well, although his appearance is not robust. Hehad an ulceration of the posterior sulcus of the mouth onthe left side, external to the molars. This occurred abouteighteen months ago. This ulcer was oblong, being abouthalf an inch wide and an inch long. The
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1912
