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July 1960


Arch Dermatol. 1960;82(1):119-123. doi:10.1001/archderm.1960.01580010125029

A Case for Diagnosis (Granuloma). Presented by Walter Nickel, M.D., and (by invitation) R. B. Pappenfort, M.D.  This 6-month-old Negro boy was born without complications. He was immediately examined by a pediatrician, who noticed no abnormalities other than an umbilical hernia and recalls no unusual appearance to the penis and scrotum. However, the mother noticed the slow evolution of an enlarging and thickened scrotum. At 3 months of age the mother felt "lumps" in the scrotum; it has become nodular and thickened, though at times the mother thinks it may be more soft and slightly smaller.The patient has developed properly and has been healthy as far as is known.Family history reveals the patient to be the youngest of three healthy siblings. There have been no congenital abnormalities among parents, relatives, or grandparents. There is no history of tuberculosis, venereal disease, or diabetes.Examination: The scrotum is enlarged, markedly

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