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March 1951


AMA Arch Derm Syphilol. 1951;63(3):405-407. doi:10.1001/archderm.1951.01570030119018

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Solid Edema of the Face. Presented by Dr. Edward J. Ringrose and Dr. Gordon H. Ekblad.  J. J. M., a 33 year old white man, first became aware of a change in his face in August 1949. This has increased very slowly in extent. A photograph taken in 1946 is shown for comparison. There is no history of recurrent erysipelas-like infection. The involvement is asymptomatic. The patient received 1,000,000 units of penicillin in the fall of 1949, with no apparent benefit. There is brawny nonpitting swelling over the nose, the right maxillary area and the right periorbital area medially. There is no erythema or pigment deposition. Results of laboratory studies, including routine blood examination and urinalysis, basal metabolic rate determination, electrocardiograms and roentgenologic examination of the sinuses and chest as well as the entire gastrointestinal tract, were noncontributory. Histologically there were areas of homogenization of the collagen and a stain

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