Aprosexia, convulsions and adenitis : dependent on pathological changes in the faucial, lingual, and pharyngeal tonsils / by Walker Downie.

  • Downie, J. Walker, (James Walker), 1855-1921.
Date:
1896
Catalogue details

Licence: Public Domain Mark

Credit: Aprosexia, convulsions and adenitis : dependent on pathological changes in the faucial, lingual, and pharyngeal tonsils / by Walker Downie. 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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    Reprinted from the Glasgow Medical Journal for November, 1894.] A CASE OF MYCOSIS TONSILLARIS BENIGNA.1 By WALKER DOWNIE, M.B., Dispensary Surgeon for Diseases of the Throat and Nose, Western Infirmary; &c. The case which I venture to bring before the Society to-night is one in which there are numerous white rounded excrescences in connection with the surface of the right tonsil. Many of the white tubercles, especially those over the upper and anterior portions of the tonsil, are isolated, but over the most prominent part of the tonsil, midway between the anterior and posterior pillars, several of them have coalesced to form a strip somewhat resembling a portion of the pseudo-membrane of diphtheria, with which it is very apt to be, and often is, confused. The disease, if it may be termed such, as in the majority of cases there is no apparent disturbance of the patient's comfort, was designated by Frankel Mycosis tonsillaris benigna, and by Hering Pharyngo-mycosis leptothricia. The patches are most frequently met with in connection with the tonsils, as in this case, though occasionally they occur on the faucial pillars, on the pharyngeal wall, or in the neighbourhood of the circumvallate papillae on the tongue. This patient, who is an engineer, aged 53, and in the enjoy- ment of good health, has been cognisant of the presence of those spots for at least eighteen weeks, yet has had no symptom referable to the tonsil, though after speaking for a time, and while reading aloud, he is of opinion that his throat generally, becomes dry more readily than formerly. When a patient with this condition is seen for the first time, the diagnosis then made is usually a wrong one. It is 1 Read at a meeting of the Glasgow Medico-Chirurgical Society held on 12th October, 1894.