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June 6, 1903


Author Affiliations

Professor of Skin and Venereal Diseases, Chicago Policlinic; Associate Dermatologist, Staff Cook County Hospital, etc. CHICAGO.

JAMA. 1903;XL(23):1551-1556. doi:10.1001/jama.1903.92490230001002a

The patient who furnished the subject of this short paper was referred to me by Dr. Henry Burwash of Chicago. The history of the case is as follows:

Mrs. M. W., aged 53, Canadian; married fifteen years; no children; was never pregnant; had never been robust, but enjoyed fairly good health; never had a blemish of any kind or character on the skin until the age of 48 when, three months after an operation for the removal of some polypoids from the nose, she noticed a small nodule on the left cheek. About this lesion soft papules continued to appear for three years, when ulceration commenced in the original nodule. The ulcerative process spread peripherally until two-thirds of the cheek had become involved in the destructive process, as attested by marked scarring and some ulceration at the time the patient came under my observation. There were also present

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