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August 1, 1977

Extensive Bilateral Lower Leg Calcification in an Elderly Man

JAMA. 1977;238(5):431-432. doi:10.1001/jama.1977.03280050071038

History  An 83-year-old man who had recently immigrated to Israel from Russia was admitted to the hospital with skin ulceration of the left leg, which had failed to heal. This ulceration had been present for six months and had resulted from minor trauma to the area. Examination showed severe swelling and induration of both legs below the knees and a deep ulcer overlying the anterior aspect of the left tibia. The patient further revealed that both legs had been swollen since the age of 20 years, and for this reason he had not been conscripted into the Czarist Army in 1914.Anteroposterior and lateral roentgenograms of both legs are shown in Fig 1 and 2. Findings from laboratory investigations, including relevant metabolic studies, were essentially normal. Roentgenographic survey of the remainder of the body showed no abnormality.

Diagnosis  Soft tissue calcification following kerosene injection.

Comment  On further interrogation the patient