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October 1969


Arch Dermatol. 1969;100(4):495-509. doi:10.1001/archderm.1969.01610280113030

Granuloma (? Cause). Presented by Samuel Ayres, Jr., MD, and Richard Mihan, MD.  A white woman, age 53, a beauty-shop operator, presented two ulcerating lesions, the oldest and largest on the left breast and a smaller lesion on the right buttock.The patient has had four chronic ulcerative lesions, the first about 12 years ago following a hysterectomy, when the wound continued to drain for a number of months apparently because the sutures failed to absorb. The second episode occurred eight years ago following a thyroidectomy, when the wound drained for approximately a year but finally healed. The third episode occurred five years ago when a cyst was removed from the left breast, after which a granulomatous lesion appeared at the site of the wound and has been continually present ever since. The fourth and most recent episode occurred about nine months ago after an intramuscular injection in the right buttock