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October 1933


Arch Otolaryngol. 1933;18(4):549-554. doi:10.1001/archotol.1933.03580060581013

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RHINOSCLEROMA. DR. PHILIP MYSEL.  Before presenting the patient, I should like to say a few words about the disease. Rhinoscleroma was first described by Hebra in 1870. It is a rare, chronic, incurable disease, possibly contagious and occurring only in certain districts of the world, namely, Russia, Galacea, Roumania and Prussia. It has lately invaded Hungary and is gaining a foothold in Germany, Italy and Switzerland. All the cases seen in this country are imported.The disease usually starts as a dense, hard plaque at the mucocutaneous border within the nostril. After inception, the disease spreads by a slow but irresistible progress either by enlargement of the original plaques or by new centers of development. This progressive inflammation rapidly develops cicatricial tissue and produces visible changes in the nose, nasopharynx and larynx. It may be limited to the nose, nasopharynx, larynx or trachea, but it seldom invades the bronchi. Characteristic

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