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April 1939


Arch Otolaryngol. 1939;29(4):681-694. doi:10.1001/archotol.1939.00650050729009

Rhinoscleroma is a chronic granulomatous process which affects the nose, the adjacent mucous membranes and sometimes the adjacent skin.1 It was named rhinoscleroma by Hebra in 1870, who described the first case.2 In 1882 von Frisch3 described the organism which is said to be the causative agent. Other names have since been given to the disease, viz., rhinopharyngoscleroma, scleroma respiratorium and scleroma.4

GENERAL CONSIDERATIONS  Distribution.—The disease, though rarely observed in this country, has been the subject of much writing in Europe, and many excellent articles have appeared in other parts of the world, including America. It is most prevalent along the banks of the Danube in Central and Southeastern Europe, i. e., in Poland, Hungary, the Balkans and the Ukraine. In 1929 a series of 500 cases was reported from Kiev, in the Ukraine.5 The disease has been reported sporadically in Southern and Western Asia, Northern Africa, Australia, Japan, Sumatra,