The following case is of interest from its rarity. I have been unable to find a report of a similar case in the available literature. It is further of interest from the symptoms, which resembled those of hay fever:
—A. B., male, aged 28, has always had trouble with his throat and nose, but otherwise presents no clinical history of importance. He at first appeared to be a victim of hay fever, although there was no sneezing at the moment. The face presented a vacuous expression; nose was long and narrow, giving a pinched expression. The alæ moved feebly, and considerable thin discharge flowed from the nostrils. The mouth was open to aid breathing, and there were fetor of the breath and painful deglutition. Deafness was also present.
—Anterior rhinoscopy showed the picture of trophic rhinitis: crusts and scabs, showing shallow ulcerations underneath when they were lifted by