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Article
June 25, 1910

INTEGUMENT ATROPHY: A SIGN OF DIAGNOSTIC IMPORTANCE IN EARLY PULMONARY TUBERCULOSIS: PRELIMINARY REPORT

Author Affiliations

Physician with Chicago Tuberculosis Institute and Central Free Dispensary, Rush Medical College CHICAGO

JAMA. 1910;LIV(26):2123-2124. doi:10.1001/jama.1910.02550520021010

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Abstract

Attention is called to a new sign which I believe to be of considerable diagnostic value in the examination of those afflicted with pulmonary tuberculosis. In a considerable number of tuberculous patients examined at the Rush Medical College it was observed that the integument or skin when picked or pulled away from the fascia was, over certain areas freely movable and not adherent to the muscle fascia. This phenomena was especially noticeable in cases of early unilateral involvement, and subsequent examination showed the tuberculous process to be on the side from which we could elicit the sign. Now if there is bilateral involvement the sign can be demonstrated on both sides but will be more pronounced over the original area of infiltration.

METHOD OF ELICITING THE SIGN  The patient with hands resting in the lap faces the physician, looking straight to the front. The integument is then pinched between the

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