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October 1983

Sclerosing Lipogranuloma of the Male Genitalia: A Malingerer's Malady?

Author Affiliations

Palm Springs Medical Center 1695 N Sunrise Way Palm Springs, CA 92262

Arch Dermatol. 1983;119(10):791-792. doi:10.1001/archderm.1983.01650340001003

To the Editor.—  My son, a professor of American history, recently brought the following passage to my attention and asked for my comments. The excerpt is from a report by a Horace O. Crane, MD, who served as an army medical examiner in Wisconsin from 1861 to 1863, and it describes some of his experiences in dealing with recruits to the Provost Marshall General's Bureau.1I will here mention an ingenious fraud practiced upon me by some Bohemians. These men claimed to have hernia of many years' standing, and of a peculiar character; that it had defied all treatment, and had baffled the surgeons in Europe; that it incapacitated them from labor of any kind requiring locomotion. On inspecting these men, I found such an anomalous condition of the scrotum and surrounding parts as to make it quite impossible to diagnose the case satisfactorily. The scrotum was evidently inflamed,

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