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Article
May 20, 1911

NOMA (CANCRUM ORIS) IN AN ADULT, WITH REPORT OF A CASE

Author Affiliations

NEW ORLEANS

JAMA. 1911;LVI(20):1449-1451. doi:10.1001/jama.1911.02560200017011
Abstract

Noma in the aged is of such unusual infrequency, compared with its occurrence in children, that I am induced to record a case which came under my observation in the summer of 1910. Considering the rarity of the condition as well as the scarcity of the literature dealing with the disease, especially as relates to its presence in the aged, I believe that I am justified in offering a brief account of the nature of noma.

Noma is a rapidly progressive and probably specific infectious process of a gangrenous type, causing extensive tissue destruction and usually having its origin on the mucous membrane of the vulva, gum or cheeks, and sometimes, though seldom, the ear or anus. Noma affecting the region of the cheeks or gums is known as cancrum oris; involvement of the vulva is termed noma pudendi.

Children between the ages of 3 and 8 years are most

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