A case of chronic tuberculosis of the nose, tonsils, larynx, trachea, and main bronchi (sclerous lupus (?) without external manifestations), producing stenosis of the trachea and bronchi / by Thomas Whipham and Sheridan Delépine, read March 8, 1889.

  • Whipham, Thomas.
Date:
[1889]
Catalogue details

Licence: Public Domain Mark

Credit: A case of chronic tuberculosis of the nose, tonsils, larynx, trachea, and main bronchi (sclerous lupus (?) without external manifestations), producing stenosis of the trachea and bronchi / by Thomas Whipham and Sheridan Delépine, read March 8, 1889. Source: Wellcome Collection.

Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.

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    Drs. Whipham's and Delepine's case of Tubercle of the Larynx and Trachea. Fig. 1.—Genera] appearance of the larynx, trachea opened from behind. (a) Laryngeal ulcer. (&) Altered central fossa. (c) Laryngotomy wound. (d) Thickened mucous and submucous membranes. (e, e') Transverse section of the trachea, showing the thickened coats and angular lumen. (/) Dilated left bronchus (extra-pulmonary bronchiectasis), (gr) Calcified gland attached to right bronchus. Fig. 2.—Transverse section of the trachea at the level of the ninth cartilaginous ring. (a) Sclerosed and hyaline adventitious coat. (b) Small granuloma (tubercular). (c) Small portion of cartilaginous ring separated from the rest. (d) Fibrous tissue which has replaced part of the cartila- ginous ring. (e) Sclerosed and hyaline mucosa and subtnucosa (notice the great thickness of these membranes and the absence of mucous glands). (J) Thin and contracted portion of these membranes owing to that contraction 5 the adjacent portion of the cartilaginous ring has become dislocated. (g) Epithelium where it is thin and atrophied. (h) Epithelium where it is thick and sends interpapillary processes into the subjacent mucosa. (i) Sclerosed and atrophied fatty lobules in the adventitia.