. Diseases of the nose and throat . e tract; doses of 1 or 2 grammes canreadily be taken two or three times a day, either in eodliver-oil or onsugar. Other systemic tonics and ferruginous medicines may also beprescribed in suitable cases, while the dietetic, hygienic, climatic, andother conditions of the patient are carefully attended to. CHAPTER LIV. LUPUS OF THE PHARYNX. Lupus of this region, as well as lupus of the skin, nose, or larynx,is a very chronic disease. It is a rare disease, slowly progressive incharacter, and marked by nodular development and infiltration. Al-though in the large
. Diseases of the nose and throat . e tract; doses of 1 or 2 grammes canreadily be taken two or three times a day, either in eodliver-oil or onsugar. Other systemic tonics and ferruginous medicines may also beprescribed in suitable cases, while the dietetic, hygienic, climatic, andother conditions of the patient are carefully attended to. CHAPTER LIV. LUPUS OF THE PHARYNX. Lupus of this region, as well as lupus of the skin, nose, or larynx,is a very chronic disease. It is a rare disease, slowly progressive incharacter, and marked by nodular development and infiltration. Al-though in the large majority of instances, lupus attacks the skin inpreference to the mucous membrane, cases do occur, occasionally, inwhich the latter is the primary seat of the disease. Pathology.—Lupus differs widely both in clinical history andappearance from local tuberculosis; yet the presence of the tuberclebacilli in each proves that a close relationship exists between them,and a close investigation will reveal the fact of a tuberculous con-. w Fig. 91.—Lupus. Palatal appearance. (After Lennox Browne.) nection in the majority of cases. The soft palate or one of the faucialpillars is usually the part affected first; and from this it slowlyspreads to the soft tissues of the pharyngeal walls (Fig. 91). Thedevelopment is that of nodular thickening, accompanied by slowulceration, the peculiar feature of the ulceration being that, whilethere is destruction of normal tissue, there is little change of colorand but scanty discharge of pus and debris. The process of ulceration is accompanied by the compensatoryformation of cicatricial tissue, which, when developed, twists and con-torts the pharynx out of its natural shape. This disease is rarely symmetrical, the lesions being more ex-tensive on one side of the pharynx than the other; and the nodularinfiltration always presents a characteristic, vascular, knobbed, and (297) 298 DISEASES OF THE PHAKYNX. irregular appearance. Though sometimes assoc
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