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April 1952


AMA Arch Otolaryngol. 1952;55(4):451-452. doi:10.1001/archotol.1952.00710010463007

IN THE Hospital Gazette in 1879, there appeared an article entitled "A Hitherto Undescribed Lesion As a Cause of Epitaxis with Four Cases," by James L. Little, M.D., "New York Professor of Surgery, Medical Department of the University of Vermont, Lecturer on Operative Surgery and Surgical Dressings in the College of Physicians and Surgeons, New York City."1

This paper is not only the first description of the location in more than 90% of all cases of nose bleeding, but it is the best ever written on the subject. Here is a great physician, with a talent for the clear, direct phrase, speaking to us across the years in simple, unadorned language.

Little describes in detail four cases of nose bleeding and then goes on to discuss the core of the matter:

The seat of the ulcer seemed to be in or about the same situation on the septum in