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August 1951


AMA Arch Derm Syphilol. 1951;64(2):247-251. doi:10.1001/archderm.1951.01570080131032

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Histoplasmosis. Presented by Dr. James H. Mitchell and (by invitation) Dr. F. W. Hiss.  The patient, a 58-year-old white man, was first observed by us on Oct. 26, 1950, with the following complaints: sores on his face, neck, and mouth of three months' duration, and cough and hoarseness for two and a half months.In the first week of August, 1950, the patient noted painless red, papular lesions over the left eye, the chin, and the neck, together with some sores in the mouth. In 10 days the lesions became pustular and then umbilicated. In the next two weeks they became crusted. The lesions in the mouth are particularly painful when he eats salty food.Three weeks after the onset of the papular lesions, he acquired a cough productive of whitish sputum which at times was blood-tinged. One week after the onset of the cough he manifested hoarseness. In the

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