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Paraffinoma. Presented by Dr. H. Wallhauser.
A man, aged 35, born in the United States, had received an injury to the nose about thirteen years prior to presentation, which was followed by three operations for relief from difficult breathing. The last operation nine years before presentation was followed by considerable deformity. He said that he had received several injection of paraffin for this deformity.
When he came under observation a few days prior to presentation, he had a tumefied, bluish-red area, which occupied most of the nose. The superficial vessels were greatly dilated.
On palpation, the entire area was thick, and there was a lobulated border rather hard in consistency. There was no pitting on pressure. Roentgen examinations were negative regarding any bone erosions in this area. The Kahn and Wassermann reactions were negative.
DISCUSSION
Dr.George C. Andrews: I believe that roentgen treatment ought to be tried,