A text-book on diseases of the ear, nose and throat . scles, tendons, and cartilages, butnot, according to Hutchinson, to bones. Thefirst evidence of invasion is an infiltrationand hyperi)lasia of the part, which thus losesits normal contour. The edge of the palatebecomes uneven and the uvula presents abulbous apx)earance. The infiltration gen-erally shows itself in the form of nodules,which are discrete at first, but which finallycoalesce, so that the resulting masses makethe surface of the affected area very un-even. De la Sota calls attention to theearly presence in the masses of a j^eculia


A text-book on diseases of the ear, nose and throat . scles, tendons, and cartilages, butnot, according to Hutchinson, to bones. Thefirst evidence of invasion is an infiltrationand hyperi)lasia of the part, which thus losesits normal contour. The edge of the palatebecomes uneven and the uvula presents abulbous apx)earance. The infiltration gen-erally shows itself in the form of nodules,which are discrete at first, but which finallycoalesce, so that the resulting masses makethe surface of the affected area very un-even. De la Sota calls attention to theearly presence in the masses of a j^eculiarelastic resistance. They are harder than or-dinary inflammatory deposits, though not ashard as epitheliomatous formations. Hyde states that ^ in consequence ofwarmth and moisture the luj^oid nodule is here transformed into a moistpapillary outgrowth or externally granulating patch. Later there en-sues a peculiar ulceration, or rather a wasting away of tissue, not attendedby any purulent discharge or necrosis, but by a disappearance of the Tig. Lupus of the soft palate. (McBride.) ^ Trans. Amer, Laryngol. Assoc, 1886, p. 14. PLATE X.


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