...F. Ronchese For unknown reasons, keloids located on the chest respond poorly to any form of therapy. Patients demanding removal of small, so-called ‘spontaneous’ keloids from the chest area for cosmetic purposes should be discouraged. Biopsies, if just as good elsewhere, should avoid the chest area...

... showed up 10 years later with numerous discharging large sinuses and abscesses on the upper right quadrant of the chest wall and in the right armpit. Roentgenograms revealed pleural masses. Histology was in keeping with the diagnosis of mycetoma. Treatment with amikacin, rifampicin and co-trimaxole...