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Walter J. Reich, M.D.; Albert M. Doswald, M.D.; Phillip C. Williams, M.D.; Mitchell J. Nechtow, M.D.
JAMA. 1954;156(7):714. doi:10.1001/jama.1954.02950070042009d.
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The report of this case was occasioned by the rareness of occurrence of the disease reported and the fact that only a few cases have appeared in the literature.

REPORT OF A CASE A 33-year-old Negro woman, gravida 2, with spontaneous abortions in 1936 and 1938, was first seen in the Cook County Hospital gynecology outpatient clinic on Sept. 17, 1952. She complained of a growth, described as a "pimple," on her right labium majus pudendi. It had been present for about four years. It did not cause any discomfort, although it became infected once about two months prior to the patient's visit. Some itching was present. The growth had become larger until its present size was about 0.5 in. (1.3 cm.) in diameter.

Physical examination showed an obese Negro woman, not acutely ill, weighing 241 lb. (109 kg.), and 5 ft. 1 in. (155 cm.) tall. Her blood pressure


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