November 10, 1900


JAMA. 1900;XXXV(19):1221. doi:10.1001/jama.1900.02460450037011

Reclus and others have described a peculiar form of chronic inflammation of the skin and subcutaneous tissue characterized by a slow clinical course and by a wooden consistency, phlegmon ligneux, Holzphlegmon. Most frequently involving the neck and developing even for months without fever or pain, they so simulate malignant neoplasm that the termination in recovery may be the first means of reaching a correct diagnosis. In one case described by Reclus death resulted from a suddenly developing edema of the glottis. Various organisms, but especially streptococci and staphylococci, have been found in the exudate. Krause has described an instance involving the hypogastrium. Quite recently Chiari,1 of Prague, has added still another instance, which is quite remarkable because of the extent of the disease, the long duration, the absence of suppuration, and the final general infection with streptococci. The patient was a woman of 50 years. The inflammation probably originated

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