June 1, 1907


Author Affiliations

Surgeon to the Out-Patient Department of the Episcopal Hospital. PHILADELPHIA.

JAMA. 1907;XLVIII(22):1840-1841. doi:10.1001/jama.1907.25220480016002b

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Patient.  —Vincent M., aged 10, came under my notice in the out-patient department of the Episcopal Hospital, where he was being treated for intractable ulcers on the left leg, in October, 1906. The largest ulcer was about one and a half inches in diameter, over the subcutaneous surface of the left tibia, at the junction of the lower and middle third of the leg. There were numerous scars of other ulcers on this leg, as well as on the right.

History.  —The history of the case is obscure. In December, 1904, he is said to have developed inflammatory rheumatism, which started in the left foot and ankle, and which subsequently spread up the leg and became erysipelatous in character. In January, 1905, the patient came under Dr. B. F. Stahl's observation, and I am indebted to him for his notes of the boy's condition at that time. Dr. Stahl writes:

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