鼻出血を主訴とする異型副鼻洞炎の1例

　「鼻疾患の症状の半數は醫者が造るものである」と言われている。醫學の發達と共に疾病は其の種類を増し又新たなる疾患が研究される傾向を示すが慢性副鼻洞炎はその代表的なものであろう。

　B. Frankelが伯林大學で世界最初の鼻咽喉科の專門講座並びに臨床を始めたのは1880年の事である。又Juranは1893年より1899年に至る6年間に上顎洞蓋膿症の診斷を確實に下したのは僅かに5例にすぎなかつたと言つている。而るに現在に於ては慢性副鼻洞炎の名は汎く世間に知られ，吾吾の耳鼻科臨床を訪れる患者中實に驚くべき多數を占め，又存在する症状も鼻閉鼻漏を始め種々多樣である。

　TAKAKI reports a case in which the patent's chief complaint was that of epistaxis a condition which proved to be the result of hemorrhage from the maxillary sinus. The nasal mucous membranes gave appearance that they might easily bleed which was most likely due to Vitamin C defficiency because of the patient's dislike towards any sort of vegetables. The patient, however, related the incidence of repeated episodes of epistaxis since the time when he recieved a severe blow on the face about a year and a half hence. Examination showed a mass of tissue, a hemorrhagic polyp, in the middle meatus. The right maxillary sinus was opened surgically to find a large amount of blood of recent hemorrhage. Microscopic examination of sinus mucous membrane showed that it was of type which might be called peculiarly hemorrhagic over and above being in state of chronic infection.