Within the past few years there have appeared in the literature over 100 case reports of scleroma. While most persons suffering from this chronic ailment have been foreign born, a considerable number have been native Americans. It is necessary, therefore, that this condition be kept in mind when granulation tissue appears any place in the respiratory passages. While the diagnosis is usually a routine procedure a universal method of treatment has not been adopted. Many types of therapy have been employed. The one which at present seems to offer the best prognosis is surgical removal of the granulation tissue followed by application of radium or roentgen rays. It is earnestly desired that physicians reporting patients so treated as "improved" or "cured" state how long such improvement has been noted. It is only by observing the time element that such treatment can be evaluated. I should like to report the following