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March 25, 1939


Author Affiliations


From the Medical Service of Dr. Ernest Dickey, Meadowbrook Hospital.

JAMA. 1939;112(12):1143-1145. doi:10.1001/jama.1939.02800120029007

Gangrene of parts of the body other than the extremities is to be considered a rare complication of diabetes mellitus. Gangrene of the nasal septum and turbinates in diabetes has been described both in America1 and abroad.2 Bulger3 has described gangrene of the right half of the tongue in diabetes, Riven4 a disseminated cutaneous lesion which he termed diabetic dermatitis gangraenosa, Elkin5 diabetic gangrene involving the vulva, and Sturgis6 diabetic gangrene of the lip.

My purpose in this report is to present the little known association of diabetes mellitus and staphylococcic gangrene of the face. A search of the literature reveals only three cases7 involving the cheek, two of which closely resemble clinically the conditions to be described here. The clinical picture has been noted only casually, and laboratory and pathologic reports are either scanty or lacking. This complication of diabetes mellitus presents