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July 1951


AMA Arch Derm Syphilol. 1951;64(1):77-91. doi:10.1001/archderm.1951.01570070080021

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Facial Granuloma with Eosinophilia. Presented by Dr. H. N. Cole, Dr. J. R. Driver and Dr. H. N. Cole Jr., Cleveland.  H. A., a white man aged 54, has noted an asymptomatic lesion on the left cheek for the past three and one-half years, which has been slowly progressing in size. He denies any previous skin disease, or taking any medication internally.Physical examination revealed an essentially normal condition except for a well circumscribed, slightly raised, moderately firm lesion on the left cheek, 6 by 8 cm. in diameter. The surface of the lesion was dry, smooth and slightly erythematous.The reaction to the Kline test was negative. Results of examination of the urine were normal. The hemogram revealed 16.5 Gm. of hemoglobin and 5,200 white blood cells, with 67 polymorphonuclear leukocytes, 27 lymphocytes, 2 monocytes and 4 eosinophils. A test with old tuberculin in a dilution of 1: 10,000

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