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February 1959


AMA Arch Derm. 1959;79(2):248-250. doi:10.1001/archderm.1959.01560140110018

Cheilitis Glandularis Apostermatosa (Volkmann). Presented by Dr. Clement E. Counter.

A 22-year-old Caucasian man has had a tender, swollen lower lip for the past 10 years. The onset was at the age of 11 years. First aware of lip distress when he was convalescent from tonsillectomy. The lip gathers a sticky, yellow crust when no ointment is used. Wintertime brings some relief of symptoms. His father and grandfather had the same lip disease in a milder form. Neither his brother nor his sister have this condition.

Present Examination.—Lower lip is prominent. It is greased with an emolient, yet scales are present. There are two palpable nodules present. A clear, stringy discharge gathers in droplets on the lower lip when it is palpated.

Previous Treatment.—Seven x-ray treatments of 75 r each—total 525 r in Beaumont Army Hospital with no apparent relief of symptoms; 5% "sulfa

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