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October 1929


Arch Derm Syphilol. 1929;20(4):534-548. doi:10.1001/archderm.1929.01440040106012

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A Case for Diagnosis. Presented by Dr. Wile.  A. B., aged 42, a farmer, stated that three years ago, he noticed that his nares were becoming obstructed, so that breathing was rendered difficult. The condition progressed slowly, the nose becoming somewhat enlarged and reddened. He removed the crusts from the lesions, but the filling up process continued. Bleeding occurred easily. There was no pain, but rather a dull aching sensation.The patient presented an eruption confined to the nose, consisting of several dully erythematous nodules appearing to be entirely subcutaneous, firm to palpation and attached above and below. One was located at the right near the bridge of the nose; another involved the tip, giving it a bulbous appearance. There was some fissuring and crusting about the tip of the nose, which was painful to palpation. There was a slight extension to the internal nares. A biopsy was shown.


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