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June 21, 1924


Author Affiliations

Kachek, Hainan, China

JAMA. 1924;82(25):2032. doi:10.1001/jama.1924.26520510006009f

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K. L. S., a Chinese, aged 19, married, entered the hospital Dec. 20, 1923, with extensive ulceration over the right clavicle, with both ends of the clavicle exposed, being held in place by a bridge composed of skin and connective tissue, as shown in Figure 1.

The family and past history were unimportant except that the patient had smallpox and measles when a child, with frequent attacks of malaria. He had had occasional conjunctivitis, but no bone or joint pains. There was no history of venereal infection.

The present condition dated back about ten months, at which time the patient awoke, one morning, with a dull ache over the right clavicle. At first there was no redness or swelling, but gradually the pain became worse until he could not move the shoulder or the arm or fingers. Within a day or two the region over the clavicle began to swell.

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