Idiopathic lethal granulomas of the midline facial tissues.

Introduction Cases of idiopathic lethal granulomas of the midline facial tissues are being reported frequently in the general medical literature. However, since such patients often consult a dermatologist because of an ulceration or tumor of the palate, it is the purpose of this report to reemphasize this disease in the dermatological literature. The most recent review was by Levan,1 in 1953, and a related condition was reported by Lincoln,2 in 1957. Recent investigation regarding the etiology as well as the treatment will be discussed. Report of a Case A 48-year-old white woman was first seen by the dermatology service at the Mary Hitchcock Memorial Hospital in September, 1956, at which time she had returned to the hospital for reevaluation of sprue, previously diagnosed in April, 1956. In addition, she complained now of a sore throat of several weeks' duration,