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Bronchostenosis complicating allergic and infectious asthma
219
ABSTRACTS
Conservative <32: 728,
Treatment 1940.
of
Sinusitis
in Children.
Gewanter,
R.:
Arch.
Otolaryng.
In the conservative treatment of sinusitis in children, Gewanter emphasizes primarily establishment of an accurate diagnosis. He places a great deal of emphasis upon the occurrence of frequent colds. The commonest complaints of his patients were: (1) frequent colds; (2) nasal obstruction and discharge; (3) some degree of low-grade fever; and (4) cough. He calls attention to the importance of differentiating allergic complications. He uses the displacement type of therapy, employing 0.5 per cent solution of ephedrine sulfate in physiologic saline solution, or a 0.125 per cent solution of neosynephrine. By this method of treatment he reports early and satisfactory relief to children suffering from nasal sinus infections and cough.
Treatment scope
of 50:
Sinusitis 989, 1940.
by the
Displacement,
Method.
Gundrum,
L.
K.:
Laryngo-
Gundrum reports his observations on a group of 800 patients with sinusitis treated neosynephrine, bacterial antigens, by the displacement method, using ephedrine, a.ndl foreign proteins. By means of x-ray plates he has shown that allergic edema of the sinuses may be transitory. He emphasizes the importance of differentiating infectious sinusitis and allergy, and the recognition of possible combinations of these He found that the displacement treatment with ephedrine or neotwo’ diseases. synephrine gave good results, but was much better if bacterial antigens were added. the percentage of improvement with various Am.ong the 800 patients studied, medicants was as follows: (1) foreign proteins, 25 per cent; (2) ephedrine and neosynephrine, 58 per cent; (3) bacterial antigens, 71 per cent. Upon rechecking 100 patients by examinations and questionnaires from two to six years after they were discharged, the results appeared to be permanent in most cases. Bronchostenosis and Moersch,
Complicating H. J.: Ann.
Allergic and Infectious Int. Med. 14: 387, 1940.
Asthma.
Priekman,
L.
E.,
According to the observations of Prickman and Moerseh, among 140 asthmatic patients examined with a bronchoscope, sixty were found to have definite stenosis of one or more bronchi. They state that bronchostenosis is primarily inflammatory andl not referable to allergic edema or bronchial spasm. A study of these patients she-wed that bronchostenosis complicating asthma generally produces characteristic symptoms and frequent physical and x-ray signs. One prominent symptom is severe, persistent, and sometimes paroxysmal cough. At first it is impossible for the patient to raise sputum, and when it appears, it is profuse, usually mucopurulent, and sometimes streaked with blood. Febrile episodes either with or without preceding chills occurred in 68 per cent of the cases. Of the sixty patients, 53 per cent gave a history of pneumonia, and 35 per cent, of pleurisy. After the acute phase subsides, bronchoscopic examination reveals a stenosed bronchus; dilatation by forceps introduced through the bronchoscope and aspiration of the retained secretion usually relieve it. Other physical signs are secondary to the atelectasis. The authors state that almost every case of bronchostenosis complicating asthma may be traced to an acute infection of the respiratory tract.
ABSTRACTS
Conservative <32: 728,
Treatment 1940.
of
Sinusitis
in Children.
Gewanter,
R.:
Arch.
Otolaryng.
In the conservative treatment of sinusitis in children, Gewanter emphasizes primarily establishment of an accurate diagnosis. He places a great deal of emphasis upon the occurrence of frequent colds. The commonest complaints of his patients were: (1) frequent colds; (2) nasal obstruction and discharge; (3) some degree of low-grade fever; and (4) cough. He calls attention to the importance of differentiating allergic complications. He uses the displacement type of therapy, employing 0.5 per cent solution of ephedrine sulfate in physiologic saline solution, or a 0.125 per cent solution of neosynephrine. By this method of treatment he reports early and satisfactory relief to children suffering from nasal sinus infections and cough.
Treatment scope
of 50:
Sinusitis 989, 1940.
by the
Displacement,
Method.
Gundrum,
L.
K.:
Laryngo-
Gundrum reports his observations on a group of 800 patients with sinusitis treated neosynephrine, bacterial antigens, by the displacement method, using ephedrine, a.ndl foreign proteins. By means of x-ray plates he has shown that allergic edema of the sinuses may be transitory. He emphasizes the importance of differentiating infectious sinusitis and allergy, and the recognition of possible combinations of these He found that the displacement treatment with ephedrine or neotwo’ diseases. synephrine gave good results, but was much better if bacterial antigens were added. the percentage of improvement with various Am.ong the 800 patients studied, medicants was as follows: (1) foreign proteins, 25 per cent; (2) ephedrine and neosynephrine, 58 per cent; (3) bacterial antigens, 71 per cent. Upon rechecking 100 patients by examinations and questionnaires from two to six years after they were discharged, the results appeared to be permanent in most cases. Bronchostenosis and Moersch,
Complicating H. J.: Ann.
Allergic and Infectious Int. Med. 14: 387, 1940.
Asthma.
Priekman,
L.
E.,
According to the observations of Prickman and Moerseh, among 140 asthmatic patients examined with a bronchoscope, sixty were found to have definite stenosis of one or more bronchi. They state that bronchostenosis is primarily inflammatory andl not referable to allergic edema or bronchial spasm. A study of these patients she-wed that bronchostenosis complicating asthma generally produces characteristic symptoms and frequent physical and x-ray signs. One prominent symptom is severe, persistent, and sometimes paroxysmal cough. At first it is impossible for the patient to raise sputum, and when it appears, it is profuse, usually mucopurulent, and sometimes streaked with blood. Febrile episodes either with or without preceding chills occurred in 68 per cent of the cases. Of the sixty patients, 53 per cent gave a history of pneumonia, and 35 per cent, of pleurisy. After the acute phase subsides, bronchoscopic examination reveals a stenosed bronchus; dilatation by forceps introduced through the bronchoscope and aspiration of the retained secretion usually relieve it. Other physical signs are secondary to the atelectasis. The authors state that almost every case of bronchostenosis complicating asthma may be traced to an acute infection of the respiratory tract.