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September 3, 1938

DIPHTHERITIC INVOLVEMENT OF THE LIPS, WITH ABSENCE OF SIGNS IN THE NOSE AND THROAT

JAMA. 1938;111(10):915-916. doi:10.1001/jama.1938.72790360001006

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Abstract

No mention can be found in the literature of cases in which diphtheria involved the lips and buccal membranes alone, with repeated negative clinical signs in the nose and throat. Believing this to be the first report of such an involvement, we present the following report:

J. M. W., a colored girl aged 10 years, was admitted to the children's burn ward at the Cincinnati General Hospital Oct. 16, 1937, with an extensive (60 per cent total body area) second and third degree burn from fire. The face and neck were spared. She was in deep shock. Intravenous dextrose and a blood transfusion were given immediately, along with other antishock therapy. In view of the extent of the burn, she did well; daily transfusions were given and the burned areas were treated locally with wet dressings of solution of aluminum acetate and green soap tub baths as soon as the

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