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Case Reports
December 1935

ACUTE MYELOGENOUS LEUKEMIA COMPLICATED BY NOMA AND ACUTE STREPTOCOCCIC DERMATITIS

Author Affiliations

OMAHA
From the University of Nebraska College of Medicine.

Am J Dis Child. 1935;50(6):1455-1464. doi:10.1001/archpedi.1935.01970120107009
Abstract

Acute myelogenous leukemia occurring prior to the age of 4 years is unusual. Noma, once quite common, is now a clinical curiosity. Generalized acute streptococcic dermatitis, formerly known as "hospital pemphigus," occurs infrequently. To find all three of these unusual but interesting conditions combined in one case seems to justify a report.

REPORT OF A CASE  History.—A Negro boy 3 years of age was admitted to the University Hospital because of "sore mouth."When 9 weeks of age the child was brought to the university dispensary because of persistent coryza. Conservative treatment soon restored him to health. Periodic examinations indicated that he had had a normal development.Three weeks before his admission to the hospital the child's mother noticed that both his ankles were swollen and edematous and that he walked with a peculiar limping gait. Examination revealed large, inflamed tonsils, diffuse bilateral cervical adenopathy and an inflammatory periarticular

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