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Actinomycosis? Presented by Dr. Walzer.
J. L., a man, aged 40, married, a salesman, presented a condition which had begun eight months previous to presentation, with a scratch on the chin following shaving, situated about 1 inch below the jaw. It soon became nodular and failed to heal. About one month later, the swelling enlarged, involving the entire right side of the face. After local applications were applied, the mass became smaller, localizing itself near the angle of the jaw. It was incised, but never completely healed. At various institutions he received twenty injections of "vaccine" into the arms and buttocks and roentgen therapy. After the treatment with vaccine, the swelling had apparently diminished, but enlarged again a few weeks later. An elongated, transverse, elevated mass, about 2 inches in length by ½ inch in width, was present under the chin, near the junction of the undersurface of the jaw
Best WH. BROOKLYN DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1929;20(5):746–749. doi:10.1001/archderm.1929.01440050156013
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