Distinctive Marking

[Neil_A]

Hi all

Does anyone have any idea of what this is saying?
(Extract from a war record)
Guessing a skin condition of some sort?

Thanks in advance

Neil

[Viktoria]

It might be Emphysema ,a serious breathing illness.
There is a skin condition rarely heard of these days Erysipelas ,not sure who filled such forms in ,there are often some spelling  mistakes ,so perhaps medical orderlies,as a Dr would spell correctly.
As it says it next to Distinctive marking I see why your immediate thought was a skin condition .
You often hear people say “ Empysemia “ and “Prostrate gland “,for Prostate gland, so perhaps a simple spelling mistake .
The patient would not usually die from the skin condition but Emphysema can contribute , putting strain on the heart .
Viktoria.

[sparrett]

The second word might be scars
Sue

[Treetotal]

I agree with Sue, Emphysema Scar R, could mean right lung.
Just a guess.
Carol 

[Neil_A]

Thank you everyone.
Looking at this further (and just in case anyone searches for this again!) there is such a thing as

Facial Emphysema

Caused by injury or a dental procedure and is caused by air being trapped in the innermost of the skin's three layers. 

So guessing my chap had this and his recovery resulted in a remaining scar on his face

[Jo6100]

The first word might be “ empyema” which is apparently a purulent pleuritis which would need draining and this would leave scars