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February 21, 1903, Vol XL, No. 8 >
ARTICLE | February 21, 1903

THE EARLY APPEARANCES, DIAGNOSIS AND TREATMENT OF TUBERCULOSIS OF THE UPPER AIR TRACT.

WALTER F. CHAPPELL, M.D.
JAMA. 1903;XL(8):495-501. doi:10.1001/jama.1903.92490080010002c.
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The subject embraced in the title of this paper is really too important to be fully considered during the time at my disposal, and can therefore only be treated briefly from a somewhat personal standpoint. At one time I thought any one who had ordinary opportunities of studying tubercular manifestations on mucous surfaces could have little difficulty in recognizing their appearance in the upper air tract. Some mistakes on my part, and a wider experience in this branch of our special work, have changed the views I formerly held, and I now consider it most difficult and I might almost say impossible to arrive at a correct diagnosis in certain cases. Of course, this does not refer to patients who have all the typical, local and general symptoms, but rather to those where they are absent and the conditions simulate some other affection. No part of the respiratory tract is

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