いわゆる進行性壊疸性鼻炎症例

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A case with the progressive gangrenous rhinitis was reported.He was a 34-year-old male who unfortunately expired following intestinal bleeding with peritonitis-like symptoms.Improvement in the general condition was the initial step by the administration of medicines and then surgey, radi- ation therapy and steroid hormone treatment were used and a somewhat clinically effective improve- ment in the symptoms was obtained but in using the radiation therapy and the steroid hormones we must take note of the nature of the "iatrogenic disease".We reported the 7 cases with the pro- gressive gangrenous rhinitis seen from 1955 to 1961(5 cases had already died and 2 cases are yet alive) who consulted the OtorhinolaryngologicaIDept.of Osaka University Hospital.According to their clinical findings and examinations, this disease should be suspected when ulceration and granulation, in nasal cavity or accessory nasal cavity, remittent fever(resistant to antibiotics), continual accerelation. of sedimentation rate and no swelling of lymphno des, no specific findings in bacteriology and serology are found.And in such cases it was much better- to improve the general condition and then take- surgical and radiation means immediately.It was- concluded that Survival or follow-up result of this- disease shonld be studied further.
社団法人日本耳鼻咽喉科学会の論文