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September 21, 1918


Author Affiliations

Santa Marta, Colombia

JAMA. 1918;71(12):967-968. doi:10.1001/jama.1918.26020380003002c

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J. C., Colombian laborer, in the employ of the United Fruit Company at Santa Marta, Colombia, admitted to the hospital with a diseased foot, had had measles, smallpox and occasional attacks of malaria. There was no history or indication of syphilis, or of any other serious illness. The family history was without interest. In general appearance the patient was healthy, with the exception of his foot and an acne rosacea.

He stated that the trouble with his foot began about a year before admission with small nodules appearing on the external portion of the dorsal surface. These grew in size and increased in number until almost the whole foot was involved, localizing especially at the toes. When the patient was admitted, the foot was greatly swollen and enlarged, particularly in the transverse diameter, being almost twice the size of the normal right foot. The first and second toes had lost

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