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The case reported is of interest because of the difficulties encountered in differentiating syphilis from cancer when the condition involves the larynx.
REPORT OF CASE
J. F. C., a man aged 57, an engineer, consulted me in May 1937. He complained of intermittent loss of voice for the previous twelve years, a condition which had become progressively worse during the last five years.He suffered from Buerger's disease in 1926, from which he seemed to have recovered. He was operated on for bilateral polypoid ethmoiditis in 1928. In 1932 he was exposed for about fifteen minutes to inhalation of chlorine gas, resulting in hoarseness which persisted almost without remission. He was the "chain type" cigaret smoker and drank in moderation. He stated that he had not suffered from any venereal disease.Examination of the nose revealed an intense red schneiderian membrane, with chronic involvement of the posterior group of sinuses.