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March 23, 1940


JAMA. 1940;114(12):1066. doi:10.1001/jama.1940.62810120002010a

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Factitious lesions often give rise to a confusion of diagnosis in many fields of medicine, sequelae of venous stasis and of varicose veins being no exceptions. We are reporting such a case which, without the significant history elicited, would have represented a rather bizarre and confusing picture.

A man aged 51, a resident of Canada after the war of 1914-1918, registered at the Mayo Clinic June 24, 1939. The history, physical examination and laboratory tests were suggestive of nothing significant except lumbar backache and varicose veins of the left lower extremity, considerable swelling and what appeared to be severe brawny infiltration or a low grade of chronic cellulitis of the left ankle and lower third of the left leg. The patient was referred to us for an opinion regarding his varicose veins.

Our examination showed incompetence of the left great saphenous vein and moderate sized varicosities of the left thigh

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