. Diseases of the nose and throat . 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 associated with tuberculardisease in the other organs of the body, it most frequently occurs asan indepen
. Diseases of the nose and throat . 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 associated with tuberculardisease in the other organs of the body, it most frequently occurs asan independent pathological condition (Figs. 92 and 93). Etiology.—It occurs more frequently in females than in this is the case is difficult to understand—the reverse being thecase in tuberculosis, its kindred disease. The period of life mostsubject to it is between the ages of ten and thirty years. A susceptibility to tuberculous invasion may possibly be onecause why the deposit of the bacillus tuberculosis within the pharynx. Fig. —Lupus of lingual tonsil (V6-inch objective; Ehrlich-Biondistain). (After Lennox Browne.) may lead to its proliferation there as lupus; but why it should takeon that form instead of that of the more prevalent disease, tuberculo-sis, is the question. What special conditions are causative of its development in anygiven case are still unknown. Symptomatology.—It is rare for lupus of the pharynx to be recog-nized in the initiatory stage, as it always develops slowly and almostwithout symptoms. Semon recently reported a case of extensivelupus of the pharynx and larynx in which there had never been theslightest pain, although the voice had been destroyed for months. ORO-PHARYNX. LUPUS. 299 Stiffness of the throat and sluggish motion of the parts are amongthe earliest symptoms. Later an ulceration develops, together withnodular enlargement and cicatrization. Deglutition and phonationmay hoth be interfered with. When the palate is seriously inv
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