Common membranous sore throat / by J. Solis-Cohen.
- Solis-Cohen, Jacob da Silva, 1838-1927.
- Date:
- [1889]
Licence: Public Domain Mark
Credit: Common membranous sore throat / 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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![sulmiaxillary and cervical lynifdiatic glands sometimes be- come moderately swollen. It is maintained by some ob- servers of unquestionable authority that within a few hours of invasion the initial feature of the local expression of this disease may always be detected on the palate and uvula, sometimes on the tonsils, less frequently on the pharynx, and occasionally on the hard [talate. Small vesicles of the size of a millet-seetl or somewhat larger are seen either isolated or in groups, with contents more or less turbid and sur- rounde<] by more or less vivid zones of inflammation. Act- ual tumefacti«)n has been described (I’otain, “ (iaz. des hop.,” 1879, No. 11). Occasionally the vesicles disappear without traces after a day or two, and then there will be no membranous exudation. Some authors (Bosworth and oth- ers) restrict the term herpetic sore throat to these rare in- stances. 8o rarely is a case seen sufliciently early to detect the vesicular stage that this initial feature has been denied (Vogel). I have seen it in a very few instances. Most fre- (juently the vesicles undergo rupture in from twenty-four to thirty-six hours, and the ruptured tissues present as small irregular excoriations which become covered almost imme- diately with a grayish-white plastic exudation. This exu- dation extends and becomes coalesced into contiguous patches which have commenced in the same manner. 11- cerated mucous surfaces in other parts of the body often become covered with the same sort of deposit during the attack, and even cutaneous surfaces likewise, but to a less extent. In some Instances the vesiculation is limited to the uvula, sometimes to its posterior and inferior surfaces; and then sometimes the false membrane does not form upon the surface of the excoriations, but the mucous membrane becomes simplv swollen and pasty looking. In some in- stances, and chiefly in children, the false membrane ex- tends into the larynx, In some cases there is also herpes](https://iiif.wellcomecollection.org/image/b22309007_0006.jp2/full/800%2C/0/default.jpg)
