Phagedenic Ulcer with Secondary Infection of Face, Cause Unknown. Presented by Dr. John B. Roxby Jr., and (by invitation) Dr. Nolan Resnick.
A white man aged 35 presented an ulcerated area 4.5×4.5×3 cm. involving the left lateral external nose with destruction of cartilaginous portion of the left cheek from the malar area to the supraoral region. There was brown crusting in the back of the lesion with actively discharging purulent areas. There was also marked edema of the left side of the face from the infraorbital area to the angle of the mandible.
The patient was well until August, 1956, when he first noted a pea-sized lump in the lower aspect of his nose. This was nontender and kept enlarging. After five weeks he saw his local physician, who treated him with penicillin and Albamycin. On Oct. 16, 1956, the lesion had ulcerated and involved the upper lip area, the
Pfahler GE, Flood JM. PHILADELPHIA DERMATOLOGICAL SOCIETY. AMA Arch Derm. 1957;76(5):675–678. doi:10.1001/archderm.1957.01550230141023
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