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January 1962


Arch Dermatol. 1962;85(1):139-142. doi:10.1001/archderm.1962.01590010145020

Chromoblastomycosis. Presented by Dr. Norman E. Levan. 

History.—  This 55-year-old Filipino agricultural laborer was first observed in January, 1953, because of a slowly enlarging tumor of the left foot of 18 years' duration. The patient was born in Luzon, P.I., but had lived in the United States since 1927 and in California continuously since 1929. In 1935, while doing field work near Salinas, Calif., he noticed a swelling over the left clavicle and on the dorsum of the left foot. The clavicular swelling was incised, and it healed promptly with no subsequent difficulty. The lesion on the foot, however, became progressively more extensive during the ensuing 18 years. At no time was there itching, pain, or exudation of pus or other material from the area.

Examination.—  On the dorsum of the left foot and toes there is a diffuse, somewhat nodular, firm thickening involving the skin and

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