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March 3, 1923


JAMA. 1923;80(9):622. doi:10.1001/jama.1923.26430360003009c

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A white man, aged 34, entered the hospital, Nov. 27, 1922, complaining of severe pain in the region of the scrotum and penis. The family history was negative. The past history included the diseases of childhood, and influenza in 1918, but no other serious illness. Owing to inability to retract the foreskin, the patient, on the advice of a physician, was circumcised at the physician's office, November 21. There were no untoward symptoms until two days later, when a slight infection developed, for which he applied a strong solution of mercuric chlorid. The next day he noticed that the skin on the penis and scrotum was dead; sensation was lost, and the wound was reddened. He continued to get worse and noticed that the skin was sloughing on both penis and scrotum. The latter had swollen to several times the normal size. He was brought to the hospital. All the

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