A Polish woman, 32 years of age, came under my care in May, 1901, suffering from a disease involving the face and causing blindness of the right eye, destruction of the nose and marked eversion of the lips. Her family history was negative. She was born in Poland and came to New York when she was 10 years old and was never sick, excepting the present illness. Venereal diseases were denied.
The history of the present complaint is as follows: About one year ago the patient noticed a pinhead-sized, firm, slightly tender swelling near the right angle of the lower jaw. The swelling was located in the skin and was freely movable. In a few days it developed into an abscess which ruptured, leaving a small ulcer. From this beginning the process extended, usually by induration and swelling followed by pus formation, crustation and, in some places, by resolution and