294 INFLAMMATION IN THE TISSUES OF 



ships of tlie Crimean campaign, and who was 

 invahded home after the Balaklava charge. Under 

 his care the case speedily recovered. 

 . Symptoms. — Ulcerative stomatitis follows, as I 

 have already said, upon the heels of simple sto- 

 matitis. I am not aware that aphthous ulceration 

 ever degenerates into the. affection now under 

 consideration. In addition to the symptoms which 

 characterize simple stomatitis are others, which 

 indeed generally bring the sufferer for advice. The 

 pain becomes much more urgent, and the breath 

 excessively fetid ; so intensely so in some cases, 

 that I have been quite unable to endure it while 

 making an examination, and have been compelled 

 to order some disinfectant before I could look into 

 the patient's mouth. The saliva is secreted in 

 greatly increased quantities. There is often 

 swelling of the cheek and submaxillary glands on 

 the affected side, but wholly unlike the oedema 

 found with phagedenic stomatitis, which is hard, 

 indolent and waxy, and without much tenderness 

 or pain. The ulcer is not gray, as the aphthous, 

 or exact in outline ; its colour is more that of 

 laudable pus ; its outline is irregular and ragged ; 

 instead of commencing on the cheek, as aphthous 

 'ulcers often do, it, as far as I have seen it, com- 

 ijaences on the mucous membrane covering the 

 gum : instead of retaining its original form and 

 shape, and manifesting an unwillingness to spread, 

 as is the case with the aphthous ulcer, it spreads 



