ted.
In many other cases the disease appears in the form of scrofulous ulcers
on the mucous membranes of the nose; in such cases it is found that the
nose is stopped up with numerous yellowish brown crusts; after removing
the same the mucous membrane appears swollen and moderately reddened, on
several places ulcers, the size of lentils, are found which are covered
with a yellowish gray coating. At the slightest touch bleeding of the
nose is caused; often also the external parts are reddened and swollen.
In such cases erysipelas frequently developes, starting from the nose
and spreading over the whole face. Frequently a repetition of erysipelas
occurs.
The scrofulous catarrh just described is generally of a very protracted
nature and is marked by many relapses. Sometimes the fluid secretion of
the nose is of very bad odor.
The mucous membrane of the _throat_ becomes diseased at the same time as
that of the nose. The same is found to be moderately reddened and
swollen; the lymphatic glands especially those on the posterior wall of
the throat are increased to swellings the size as large as peas. The
_tonsils_ also become inflamed frequently and become enlarged through
the repeated rather chronic inflammation.
_Inflammations of the ear_ are a common occurrence with scrofula. These
originate most frequently by means of the eustachian tube, which
connects the ear with the back part of the mouth as a result of the
catarrh of the nose and throat. In a majority of cases the inflammations
of the ears lead to perforation of the tympanum and may even result in
fatal cerebral meningitis.
The _eye_ is as frequently affected by scrofula. Swelling of the lids
and inflammation of the glands are the lighter forms. Pustules on the
connective tissue of the eye and on the cornea, accompanied by
photophobia, cramp in the lids and flowing of tears are those severe
forms that are so frequently observed in scrofula, and that often leave
opaque and incurable spots on the cornea of the eye.
Swelling of the _glands_ has at all times been a characteristic
phenomenon of scrofula. A swelling is merely the result of diseases of
the mucous membrane of the throat or nose, of herpes of the scalp or
face, of inflammations of the ears, eyes, periosteum, bones, etc. In the
beginning the swelling of the glands is painless and results in flat
swellings of about the size of filberts, which may be moved back and
forth; such glandular swellings may
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