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Sept 21, 1984

Shin Lesions From Ladder Rungs

Author Affiliations

CIBA-GEIGY Corporation Summit, NJ

JAMA. 1984;252(11):1407. doi:10.1001/jama.1984.03350110013007

To the Editor.—  Electricians are not the only ones to experience the development of soft-tissue lesions of the pretibial area.1 I had drawn attention to these lesions, which, as a matter of fact, can involve the subjacent bone as well, in a house painter, who not only recognized the cause of the lesions but reported that all others who used ladders, as he did, had the same lesions. At the time, I called them "painter's bosses."2 However, within the month of publication of my article, I saw a cartoon in a controlled-circulation medical journal, showing a painter with lumps on his shins, over a caption that called them "step-ladder bumps." As the cartoonist could not possibly have seen my article before drawing his cartoon and as the publication of the cartoon was too close after mine to have been derived from mine, I have to assume that the