> 80 years), instead of 50-75 years detected in more fair-complexioned populations. 1 However, statistically (chi-square) there was a plateau of detection rates after 60 years in cutaneous horn, actinic cheilitis and Bowen's disease, but not in actinic keratoses (P < 0.0001), solitary keratoacanthomas (P = 0.005) and SCC (P = 0.004).Proportional morbidity might be roughly approximated by prevalence ratios (Table 1, totals). Apart from actinic keratoses only cutaneous horn exceeded the prevalence of SCC. Similarly, in a population-based incidence study of Kauai white residents, 4 the frequency of keratoacanthoma was lower but near to that of SCC and not either greater or many times less, as in other reports. 1
This is the first report in the worldwide literature of Horner syndrome arising as a result of compression from enlarged lymph nodes in glandular fever.
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