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April 30, 1887


JAMA. 1887;VIII(18):486-487. doi:10.1001/jama.1887.02391430010002a

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S. C., male, aged 15 years, presented himself at my office two months ago, suffering from, and presenting all the characteristic symptoms of, stricture of the lachrymal duct. There was also a fistulous opening situated below the junction of the canal and duct, making an ugly sore, and discharging tears and pus. This stricture was of several years' standing, and had been annoying, but the fistula was recent, and it was for this that his parents brought him for treatment.

His history was not encouraging—there were strong reasons to suspect hereditary specific taint. He presented an anæmic appearance, had been afflicted with partial hemiplegia since babyhood, and for years had been the victim of severe chronic pharyngeal and nasal inflammation, accompanied with ulceration of the turbinated bones.

I placed him on anti-specific and tonic treatment, and by means of douches and sprays, nasal, postnasal and pharyngeal, endeavored to modify the

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