The first case of true scleroma of the larynx in a native of the United States was recorded by Watkins1 in 1921. The patient was a Negro, aged 23, born in Baltimore. Watkins stated that the only other authentic cases reported in America up to that period were in immigrants. His patient had been a fireman on a ship which plied between Baltimore, the West Indies and Central America, where rhinoscleroma is said not to be uncommon.
The only instance of scleroma that we were able to find recorded as occurring in a native of the United States who had never been out of the country was reported by Figi2 in 1928. The patient was a man, aged 26, born in New Jersey of Slavic parentage, who had a history of nasal discharge of eight years' and of hoarseness of two years' duration. He showed an extensive destructive
HELWIG FC, JAIME N. LARYNGEAL SCLEROMA IN A NATIVE MISSOURIAN: REPORT OF A CASE. Arch Otolaryngol. 1933;18(3):310–315. doi:10.1001/archotol.1933.03580060332005
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