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July 1934


Arch Derm Syphilol. 1934;30(1):164-171. doi:10.1001/archderm.1934.01460130172024

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A Case for Diagnosis. Presented by Dr. George M. MacKee.  T. H., a priest, aged 39, was first seen today. Eighteen months ago a lesion, said to have been a sebaceous cyst, developed behind the right ear. The lesion discharged thick, yellowish pus for two years, at the end of which time it was incised. A month or two after the incision, the surrounding tissue became inflamed, and the lymphatic glands in the immediate vicinity became swollen. These broke down later and caused abscesses and sinuses. A number of incisions have been made, and the patient has received several x-ray treatments, ultraviolet therapy, wet dressings and topical remedies, in spite of which the condition continued to spread. The only investigations that have been made are cultural studies and microscopic examination of smears. The only organism that has been identified is the pneumococcus.The entire left side of the neck is

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