Diphtheria of the nose will be here considered as a primary disease, and distinguished from the more common variety in which the diphtheritic inflammation of the nasal passages is secondary to diphtheria of the throat, or even from that form which is sometimes found in epidemics, in which the diphtheritic process originates in the mucous membrane of the nose, but soon appears in its usual form in the throat.
In its characteristics, diphtheria of the nose differs widely from diphtheria of the throat. The constitutional disturbances are frequently so mild that they attract little attention on the part of the patient, and in the majority of cases, the physician is appealed to only on account of the continued obstruction of the nostrils or the attending epistaxes. Renal and neurotic disturbances are rare, and paralysis of the velum palati, so frequently found in ordinary diphtheria, is not referred to in the
SCHEPPEGRELL W. DIPHTHERIA OF THE NOSE. JAMA. 1904;XLII(7):437–438. doi:10.1001/jama.1904.92490520027001h
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