The image of her missing face remains with me 25 years later. And the
loving care her husband gave her represents a degree of commitment I have
not seen in my 30 years of practice.
Alice was referred to me for evaluation of a nodule that showed up on
a chest film taken by her internist. She was in her 60s and suffered from
a disease that was diabolically disfiguring. For years she required repeated
resections of parts of her face because of a progressive necrotizing, inflammatory
process that destroyed her orbits, sinuses, and nose. Bilateral enucleation
was eventually required.
Prager KM. Alice's Husband. JAMA. 2003;289(18):2333. doi:10.1001/jama.289.18.2333