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July 29, 1911


Author Affiliations

Professor of Clinical Surgery in the University of Colorado DENVER

JAMA. 1911;LVII(5):365-369. doi:10.1001/jama.1911.04260070369005

HISTORY OF THE SUBJECT  In 1893 Paul Reelus1 of Paris reported on a form of chronic neck phlegmon of which he had seen three cases and which he believed to have been hitherto undescribed. According to this report the condition generally affects men of over 50 years, depreciated in general health. The urine is generally free; there is no constitutional disease. In these cases a slowly extending boardlike infiltration develops in the neck, sometimes in front, sometimes at the side. The development of the affection is always slow; it may extend over many weeks. The skin gradually becomes of a wine-red color, or purple or bluish. Fever and pain are not observed. At first the picture is that of a developing skin cancer. After a duration of five or six weeks edema and fluctuation come on and pus is apt to be discharged spontaneously or after incisions. In one