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Rhinoscleroma is a disease which rarely penetrates the hygienic temperature clime of the North American dermatologist. Nonetheless, confronted with his first case, the average dermatologist could be expected in one visit to make an unequivocal clinical diagnosis, to secure specific histologic confirmation, to isolate the causative organism and to prescribe effective treatment. How can we anticipate such singular success in professional performance? Much is based on the fact that few diseases are as gentlemanly in their deportment toward the physician as rhinoscleroma.
In their brief treatise, Kerdel-Vegas and his collaborators have given us insight into this model disease. Written in an informal personal style the 60 pages of text skillfully blend history with the personal experiences of these Venezuelan dermatologists. A splendid full-page color plate points up the uniformly consistent localization and unforgettable pathognomonic facies of the disease. Extensive photomicrographs stress both the diagnostic histiocytes laden with the causative Gram-negative
Shelley WB. Rhinoscleroma. Arch Dermatol. 1964;89(2):309. doi:10.1001/archderm.1964.01590260147030
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