Syphilis of the larynx, trachea, and bronchi / by J. Solis Cohen.

  • Solis-Cohen, Jacob da Silva, 1838-1927.
Date:
1888
Catalogue details

Licence: Public Domain Mark

Credit: Syphilis of the larynx, trachea, and bronchi / by J. Solis Cohen. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    BRONCin. By J. SOLIS COHEN. M.D. [Bead September 12, 1883.] Syphilitic processes are among the most important morbid pro- cesses affecting the larynx and trachea. Not only do they injure the structural integrity of the organs directly, but, by their location in the regions occupied by the origin and pourse of nerve supply, they lead to denutrition of the tissues generally, and to serious motor im- pairments of the muscles of the larynx. So varied are, the manifes- tations of syphilis, and so important to the welfare of the patient their timely recognition, that considerable detail is proper in their elucidation. In hardly any other department of living pathology has the laryngoscope been of more signal service than in dispelling obscu- rities in the conceDtion and comprehension of syphilitic disease of the larynx. The distinctions between secondary and tertiary syphilis, as mani- fested in the upper air-passages, are so irregular and uncertain, that many wi'iters prefer the terms recent and tardy. In fact, however, secondary lesions are sometimes tardy and tertiary lesions sometimes precocious. Secondary lesions are sometimes present jis the sole manifestation of that period. Sometimes they precede cutaneous manifestations. Most frequently they occur in subjects already affected with what are known as mucous patches in other portions of mucous membrane, or with early cutaneous syphilidcs. Tertiary lesions sometimes present without any history of secondary lesions. PatJiology.—The earliest and far most frequent manifestations are subacute and diffusely hyperaemic conditions of portions of the mucous membrane, of varied extent and intensity; an ei-ythema with turges- cence, but without hypersecretion, occurring within from six to ten weeks after infection. The affected surface exhibits at first the usual rose-color of congestion, but, as stases, infiltrations, and ha3niic transu-