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October 1936


Author Affiliations


From the Department of Dermatology, Cincinnati General Hospital of the College of Medicine of the University of Cincinnati.

Arch Derm Syphilol. 1936;34(4):630-634. doi:10.1001/archderm.1936.01470160077009

Ever since Richter's report in 1828 entitled "Das Wasserkrebs der Kinder," numerous reports have appeared relative to this particular syndrome. In the descriptions of many of the early cases, noma was considered as a clinical entity. This, however, is not true. It is merely a type of necrotic ulceration of selective localization and of varied etiology. Gangrenous stomatitis is only one form of noma. Rasskina-Braude and Jordan and Ryndik1 listed the following characteristics of noma: (1) onset with ulceration of the mucous membrane, which rapidly assumes a gangrenous character and becomes grayish black; (2) edema and swelling, with central infiltration; (3) extension of the process to the adjacent skin, first with a crust and later with perforation under this crust; (4) exposure and necrosis of neighboring bones and loosening and eventual loss of teeth; (5) severe pain and a tendency to bleeding; (6) characteristic gangrenous odor;

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