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December 6, 1890

Asthma Considered Specially in Relation to Nasal Diseases.

JAMA. 1890;XV(23):841. doi:10.1001/jama.1890.02410490033011

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The author states this essay to be an attempt to show how far diseases of the nasal cavities may affect asthmatic attacks and to modify the opinion that asthma is the result of a local nasal disease, the care of which would eo ipso cause the disappearance of the reflex neurosis as held by Prof. Hack, of Freiberg. He takes, with Germain-Sée, the position that asthma must be considered as a bulbar neurosis consisting in an excessive reflex irritability of the respiratory centre, which may be disturbed in its action by any competent peripheral irritation, and that nasal diseases sometimes, but not necessarily, constitute such an inciting factor in the asthmatic attack. In his own material he has noted asthma associated with nasal polypæ in 22 per cent, of his cases, and with chronic rhinitis in 8 per cent. The entire subject receives painstaking and fair-minded treatment which, in the

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