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Article
March 5, 1887

A MIXED FORM OF ATROPHIC AND HYPERTROPHIC CATARRHAL INFLAMMATION (HITHERTO UNDESCRIBED), AND ITS TREATMENT.Read before the American Rhinological Association, at St. Louis, Mo., October, 1886,

JAMA. 1887;VIII(10):262-264. doi:10.1001/jama.1887.02391350010002a
Abstract

I desire to present briefly a general outline of a class of cases laboring under a mixed form of atrophic and hypertrophic catarrhal inflammation of the upper air passages. In these cases there exists simultaneously and conjointly, hypertrophy and atrophy of the mucus membrane of the nose, nose and pharynx, or nose, pharynx and larynx. I have observed numerous cases of this form of inflammation, some of which were apparently so slightly affected, so far as structural changes and other evidences of inflammatory action were concerned, that some observers would, on examination, conclude that the affected structures were in a healthy condition. The condition of the diseased mucous membrane, however, varies, —the structural changes being greater in some than in others, and the quantity and quality of secretion also varies. Now and then we see hypertrophy and atrophy apparently well marked co-existing in the same patient, but in many of

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