THE REPORT of Reyes1 indicates that scleroma is commonly observed in El Salvador and Guatemala. Since the climate, economic factors, and racial groups found in Panama are similar to those of these countries, one would assume that this disease should be observed with the same frequency in Panama. A check of the files of local hospitals revealed only one case in addition to the two cases to be described. The following are reports of two patients treated by the Ear, Nose and Throat Service of Gorgas Hospital.
V. C., a 25-year-old white man, born in Salvador, where he resided until 1941, was admitted to the Gorgas Hospital in March, 1949, for diagnosis and treatment of granulations of the anterior nares. The patient's chief complaints were partial nasal obstruction and hoarseness of several years' duration. Examination revealed the anterior nares to be occluded by granulations. The posterior surface of the
ZERNE GE. SCLEROMA IN PANAMA: Report of Two Cases. AMA Arch Otolaryngol. 1953;57(4):452–453. doi:10.1001/archotol.1953.00710030473011
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