A CASE OF MULTIPLE LARYNGOTRACHEAL STENOSIS.

Adventitious stenosis of the larynx or trachea is usually attributable to syphilis. Lesions of this character—ulceration, cicatrical tissue, formation of contractures—are rarely observed in childhood and adolescence. The case which I report has a somewhat obscure history both as regards constitutional and initial symptoms of the present condition, and there is, at worst, merely a vague suspicion of congenital syphilis based chiefly on pathologic probabilities and the questionable moral status of the parents, the mother being Spanish and at the present time being apart from her second husband. On the other hand, the evidences against systemic disease are: A healthy mother and sister, the father was healthy up to the time of having typhoid fever, with which he died, and the patient is of good morals, exhibits good vitality and has no active symptoms at present. The girl is now 20 years of age and her physical development is above