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December 1933


Arch Derm Syphilol. 1933;28(6):867-868. doi:10.1001/archderm.1933.01460060104019

Periadenitis Mucosa Necrotica Recurrens. Presented by Dr. N. N. Epstein.  B. W., a white man, aged 43, entered the University of California Out-Patient Department on Jan. 25, 1933, complaining of ulcerations of the buccal surface of his mouth, tonsillar region, tongue and lower lip. Similar lesions were also present on the scrotum.The condition has been present for four years. At no period has the patient been entirely free during this time.A severe flare-up of the condition has occurred during the past two months. The patient states that each lesion has a definite course, undergoing spontaneous involution within one month. New lesions appear as others heal. The lesions vary from 0.5 to 1.5 cm. in diameter. They are discrete, with an intense areola around them, and a central necrotic ulceration. They are quite painful. There are many scars in the mouth and tonsillar areas, with considerable alteration of the

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