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July 21, 1923


Author Affiliations

From the Boston Dispensary.

JAMA. 1923;81(3):212. doi:10.1001/jama.1923.26510030004013c

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This case is reported (1) because of the symmetrical placement of lipomas, which showed a marked tendency to follow the paths of certain superficial nerves, and (2) because the distribution of the painful tumors was so characteristic of the typical von Recklinghausen's disease (generalized neurofibromatosis) that the histologic report of multiple lipomas was a surprise.

REPORT OF CASE  A car repairer, aged 30, and single, came to the surgical department of the Boston Dispensary, complaining of painful lumps on his arms, back and legs. His family history had no relation to his present condition. His habits were confined to the moderate use of tobacco and alcohol, except for an occasional excess in the latter. The patient's own history was unimportant, except that he said he had a complete right-sided "neuritis" at the age of 19, lasting two months, and characterized by dull pain on the affected side. This was not

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