The patient, a tradesman, a native of Poland, is 53 years old, and does not remember ever having been afflicted with any disease, with the exception of that herein described. His parents, who are dead, enjoyed good health, and neither they nor any other of his relatives were subject to skin affections. He has eight children, and two grandchildren, all enjoying good health. At the age of about 2 years there developed behind his left ear a growth which soon exulcerated, and in the course of a few years his face, especially the nose and mouth, became affected. The skin thus diseased repeatedly broke down and rehealed. The mouth gradually became so closed that he could only insert his little finger.
At this stage the nose, which meantime had repeatedly broken and healed, began to break down until its tip was destroyed at about the age of 12 years. He
LIEBERTHAL D. A CASE OF EPITHELIOMA DEVELOPED ON THE BASIS OF A HEALED LUPUS VULGARIS TREATED BY X-RAYS. JAMA. 1901;XXXVI(21):1464–1466. doi:10.1001/jama.1901.52470210014002c
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