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November 1954


Author Affiliations

From the hospital of the United Fruit Company (Chiriqui Land Company, Bocas Division).

AMA Arch Otolaryngol. 1954;60(5):601-611. doi:10.1001/archotol.1954.00720010616009

TEXTBOOKS of otolaryngology, as a rule, do not describe tropical conditions of the ear, nose, and throat. However, modern travel and war may bring patients suffering from such diseases to the temperate zone. In the United States, Fasal and Gradow1 described a case of American leishmaniasis in the auricle of a laborer from El Salvador who had worked in Guatemala. Reipen2 and Partenheimer3 reported from Germany involvement of the nasal mucosa in patients who had lived in Brazil. Thus, a short account of the condition, together with personal observation of eight cases, may be warranted.

Affection of the nose has been reported from Panama in only one case, by Bates4 in 1913. Bates's report concerned a patient from another region of the Republic of Panama (San Carlos, Los Santos Province). There is little doubt that Bates's diagnosis of affection of the nasal mucosa was correct, even

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