A text-book on diseases of the ear, nose and throat . te croupous tonsillitis. (Griinwald.) DISEASES OF THE UVULA AND TCXSILS. 549 Acute Ulceeatiye Tonsillitis.—Under this title F. J. Moure ^ hasdescribed a form, of tonsillar disease ^vhieh he regards as a snbvarietyof ordinary lacunar tonsillitis. It is characterized by the presence onthe surface of the tonsils of large ulcerated patches which closely re-semble specific lesions. Attention had been called by various observersin previous years to this class of lesions, but Moure seems to have beenthe first to recognize their true nature. The to
A text-book on diseases of the ear, nose and throat . te croupous tonsillitis. (Griinwald.) DISEASES OF THE UVULA AND TCXSILS. 549 Acute Ulceeatiye Tonsillitis.—Under this title F. J. Moure ^ hasdescribed a form, of tonsillar disease ^vhieh he regards as a snbvarietyof ordinary lacunar tonsillitis. It is characterized by the presence onthe surface of the tonsils of large ulcerated patches which closely re-semble specific lesions. Attention had been called by various observersin previous years to this class of lesions, but Moure seems to have beenthe first to recognize their true nature. The tonsils present, more fre-quently on their mesial aspects, grayish rounded or oval patches coveredwith a cheesy deposit of some thickness, which can, however, easily beremoved, leaving a mammillated surface. The borders of the ulcer areclean cut, but not particularly swollen; the rest of the organ may besomewhat swollen. The ulcerated spots are usually single, without anytendency to coalesce, and may occur in succession on the same tonsil. Fig. Acute ulcerative tonsillitis. (Moure.) so that the latter exhibits simultaneously different stages of the ulcers seem to be of an infective nature, which may explain the suc-cessive invasions of the same or of the other tonsil. The x)rocess appearsto start as an acute inflammation in the crypts. Moure compares thegross appearance to that of a cauterized tonsil from which the slough isabout to separate. Etiology.—The condition seems to be more prevalent in the spring andfall, and attacks by preference young adults; no special cause has yetbeen assigned for this x)articular form. The affection has also been styledulcerous chancriform tonsillitis, and more recently has been referred byVincent and others to the siDCcial influence of a spirillum and certain fusi-form bacteria, but this point is still undecided. Some have regarded themalady as merely a manifestation upon the tonsillar surfaces of the usualulcero-membranous s
Size: 2384px × 1048px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1900, bookidtextbookondi, bookyear1901
