Extensive ravages from lupus, with subsequent cicatrization, leaving but one small hole in the face which represents both mouth and nose, and with complete closure of the anterior nasal orifices / by Julian J. Chisholm.

  • Chisolm, Julian John, 1830-1903.
Date:
[1882]
Catalogue details

Licence: Public Domain Mark

Credit: Extensive ravages from lupus, with subsequent cicatrization, leaving but one small hole in the face which represents both mouth and nose, and with complete closure of the anterior nasal orifices / by Julian J. Chisholm. Source: Wellcome Collection.

Provider: This material has been provided by UCL Library Services. The original may be consulted at UCL (University College London)

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    EXTENSIVE RAVAGES FROM LUPUS, WITH SUBSE- QUENT CICATRIZATION, LEAVING BUT ONE SMALL HOLE IN THE FACE WHICH REPRESENTS BOTH MOUTH AND NOSE, AND WITH COMPLETE CLOSURE OF THE ANTERIOR NASAL ORIFICES. By JULIAN J. CHISOLM, of Baltimore. HE accompanying wood-cut, carefully prepared from a recently taken photograph, illustrates the extent to which the frightful ravages of lupus may go without destroying life. The eating away of the nasal cartilages, and even the extension of the ulceration to the cheek, is not a very uncommon occurrence in this form of rodent ulcer. The subsequent cicatrization may reduce the anterior nasal orifices to so small an opening, that a full-sized catheter can only be introduced. However small this opening may con- tract to, it is still most valuable for breathing purposes, and is especially of comfort during mastication. The following case, taken from the records of the Presbyterian Eye and Ear Charity Hospital, is the only one, in my experience, in which the nasal orifices were altogether obliterated, and in which the scarred condition of the entire face indicates that the ulcerated surfaces were not restricted to nose and cheeks, but were only limited by chin and forehead, and extended from ear to ear. Her sufferings, while undergoing months of ulceration, and three years of an open ulcer before the healing process was completed, no one can calculate. Fortunately for her, Reprinted from the Archives of Ophthalmology, Vol. xi, No. 2, Tune, 1882. (With wood-cut.)