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October 1940


Arch Derm Syphilol. 1940;42(4):685-705. doi:10.1001/archderm.1940.01490160145023

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Trophic Ulcer of the Nose. Presented by Dr. Maurice J. Costello, New York.  H. A., an American aged 47, a watchman, was first seen in November 1938, referred from the Manhattan Eye, Ear and Throat Hospital. He gave a history of sudden loss of speech and of sensation in the left side of his body several days before a diagnostic spinal puncture was performed. He stated that an ulcer appeared on the left side of his nose the following day. While in the hospital he complained of excessive sweating limited to the left half of his body. He had had a severe injury of the head twelve years before, accompanied by transitory hemiplegia on the left. The duration of his complaint is eighteen months.Examination shows an ulcerating lesion of the left nostril with some destruction of the ala nasi. He also has a proliferative ulcerating lesion on the septum

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