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J. C., a 23 year old Negro, was first seen in the outpatient clinic on April 25, 1937, complaining of pain in the left side of the face, nasal obstruction, foul odor and discharge from the nose. He complained also of a chronic cough, which was brought about by irritation from the postnasal discharge. The symptoms had been more or less continuous since 1928 but had become worse in recent months. He was first seen in 1928 in the accident room of a general hospital, for suture of a stab wound of the nose acquired in a fight. He dated his symptoms from that time. He stated that he had since been treated for nasal trouble in several clinics.
Local examination showed a transverse depressed scar across the nose below the distal end to the nasal bones. The nasal septum was deflected to the left. THe mucosa about the floor