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April 29, 1961

Subcutaneous Ossification of the Legs in Chronic Venous Insufficiency

Author Affiliations

Miami, Fla.

From the Department of Dermatology, University of Miami School of Medicine.

JAMA. 1961;176(4):376-377. doi:10.1001/jama.1961.63040170017018

THIS PAPER draws attention to a newly described entity, which might be much more common than is suspected. The characteristic features have been aptly described by Lippmann1 and Lippmann and Goldin.2 This entity may be the underlying cause of a non-healing leg ulcer, and its diagnosis may help in the choice of a more satisfactory therapy.

Report of a Case  An obese 50-year-old Negro woman was first seen in the skin clinic of the Jackson Memorial Hospital, on Aug. 29, 1960. She complained of a small 2-by-3-cm. ulcer on the medial aspect of her left lower leg, which had been present for approximately 3 months. The leg was swollen. The diagnosis of stasis ulcer was made, and the patient treated with conservative measures: elastic pressure bandages and daily cleansing of the lesion with 3% hydrogen peroxide, followed by the application of a combination ointment containing neomycin, bacitracin,