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Article
September 1937

SAN FRANCISCO DERMATOLOGICAL SOCIETY

Arch Derm Syphilol. 1937;36(3):653-665. doi:10.1001/archderm.1937.01480030180023

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Abstract

Coccidioidal Granuloma Confined to the Tongue. Presented by Dr. Harry E. Alderson.  A. J. L., a married man aged 39, a truck driver residing in Watsonville, Calif., had macroglossia of enormous proportions of six months' duration on April 14, 1936. There were two irregular superficial ulcers near the right border of the tongue, where the disease had its onset.The patient bit his tongue in November 1935, and it has never healed. The swelling has gradually increased, and the tongue now almost fills his mouth. This swelling is fairly uniform and firm, but the borders are deeply indented by pressure of the teeth. The base of the tongue is free, but the surface in front of it shows deep-seated but slightly elevated irregular and poorly defined hard nodules.There was never any interference with breathing, but the patient has great difficulty in eating and talking. The cervical nodes and submaxillary

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