Letter: Infections, then and now.
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Biomedical subjects
Publications and source records attributed to G B Ferguson.
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Acute lupus erythematosus has manifested itself in many ways. Symptoms most often pertain to polyarthritis, arthralgias, skin lesions and those attributed to lupus nephritis. Recently documented lesions have been seen in the nose and larynx. The following case report shows evidence of subglottic stenosis due to SLE.
Lateral pharyngotomy offers good exposure for the removal of many laryngeal and hypopharyngeal tumors. The simplified operation I present avoids damage to voice, deglutition or airway. This approach can be expanded to reach almost any tumor of the pharynx and radical neck dissection can be incorporated. The cosmetic result has been satisfactory, but if individual consideration prompts it, a more horizontal skin-fold incision can easily be substituted.
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Summary--A six-year-old female with papillomatosis of the trachea causing respiratory embarrassment was operated upon under general anesthesia. Utilizing a specially designed anesthetic technique to fit the problem and utilizing a cryoprobe followed by electrodessication, the lesions were removed. Furthermore, simple operative procedures and the use of bovine wart vaccine has, over the course of seven months, resulted in an apparent cure.
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