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June 4, 1904


JAMA. 1904;XLII(23):1499-1500. doi:10.1001/jama.1904.02490680039015

The intimate relation which exists between pulmonary and laryngeal tuberculosis has only been appreciated by the physicians of the last generation. Nearly all of the writers up to 1S80 were of the opinion that the majority of the laryngeal complications of consumption were not due to the same cause as the pulmonary lesion. Even at the present time there are great discrepancies in the statistics bearing on the relation between the two conditions. Recently, Frese1 has analyzed a large number of cases of pulmonary tuberculosis with regard to the laryngeal complications. He finds that primary laryngeal tuberculosis is extremely rare, as has been always held. He believes this due to the great difficulty of lodgment of tubercle bacilli on the larynx from the filtering action of the nose and the action of the ciliated epithelium. In practically all cases the laryngeal lesion follows the pulmonary one, the larynx being secondarily

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