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Congenital Fistula. Presented by Dr. John D. Rogers.
When R. D., a girl aged 12 years, was born, her mother noticed two small openings or dimples at corresponding locations on the external ears. No swelling was present until the child was 3 years old. Then a lesion similar to a boil appeared about 0.5 cm. anterior to the dimple-like opening on the right ear. The lesion appeared to the physician to be a wen, and he incised it and evacuated cheeselike material. The lesion healed and remained well until the child was 5 years old. Since then she has had similar swellings three times. The first two swellings healed after being drained, but since the third swelling occurred, two years ago, the lesion has drained continuously. The father had similar sinuses in the same location, but he has never had any trouble. She has one sister, and that sister
Hall AF, Counter CE. LOS ANGELES DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1946;53(2):151–163. doi:10.1001/archderm.1946.01510310075013
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