Chronic Lymphangitis of the Lower Lip. Presented by Dr. J. H. Swartz, Boston.
J. M., a white American school girl aged 9, presents an intermittent swelling of the lower lip, of eight years' duration.
During this period the lip has never been entirely normal. At the onset there were edema and vesiculation, but during the past two years the edema has persisted without vesiculation.
Examination reveals a firm swelling of the lower lip, without tenderness. The Hinton and Wassermann reactions of the blood were negative.
Autogenous, typhoid and smallpox vaccines have been administered. Moccasin snake venom, as well as roentgen therapy totaling 450 r, has been used. No improvement resulted from this treatment.
Dr. F. P. McCarthy, Boston: I have a patient with a similar condition of three years' duration, who was treated elsewhere for about one year and received essentially the same therapy as that recorded here, exclusive