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Sinclair Tousey, M.D.
JAMA. 1914;LXII(15):1167. doi:10.1001/jama.1914.02560400035015.
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The patient, a man, was referred to me by Dr. Beder. The right mammary gland and nipple had ulcerated away and there was another ulcer below that region. Both were adherent and covered with a red parchment-like epidermis and were surrounded by an indurated margin projecting 1/2 inch above the level of the skin. Nodular masses larger than a hickorynut but smaller than a hen's egg were present in both axillae and were widely scattered over the front of the chest. On the right side of the chest the skin over many of these was red, and they were evidently in a way to break down into ulcers. On the left side the nodules were smaller, white, and extended from the nipple in a cord-like mass up into the axilla. The disease had been of several years' duration; no operation even for the removal of a microscopic specimen had been


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