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February 1986

Resident's Page

Author Affiliations

University of Virginia School of Medicine Charlottesville

Arch Otolaryngol Head Neck Surg. 1986;112(2):210-213. doi:10.1001/archotol.1986.03780020090021

PATHOLOGY QUIZ CASE 1  Timothy R. Carter, MD, Charlottesville, VaA 3-month-old female infant presented with a 6 × 4-cm, soft, nontender mass in the left preauricular area. The overlying skin showed a small central focus of bluish pigmentation. This mass was first noted one month after birth and roughly tripled in size over the next four to five weeks. This lesion is illustrated in Figs 1 through 3.What is your diagnosis?

PATHOLOGIC QUIZ CASE 2  David M. Stone, MD; Carl F. Wurster, MD; John F. Hamilton, MD, ChicagoA 51-year-old man presented with multiple cranial nerve defects on the left side that had been present for 13 months. They began with left lateral gaze paralysis following a flutype illness, which quickly progressed to complete ophthalmoplegia. He subsequently developed a left-sided facial paralysis, difficulty chewing foods, and ipsilateral pain with hypoesthesia in middle and lower aspects of the face.