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August 12, 1899


Author Affiliations


JAMA. 1899;XXXIII(7):371-373. doi:10.1001/jama.1899.92450590001001

Very few writers mention connective tissue as a primary seat of tuberculosis. Senn, in his "Principles of Surgery," gives the only article of importance upon this subject that I have been able to find, and that is a very brief one. We are learning, however, that the fasciæ of various parts of the body are not infrequently the primary seat of disease. Every surgeon is familiar with tuberculosis of fascia secondary to gland, bone and joint disease, but in these cases the communicating sinuses can be found and the relation between the disease of the fascia and the gland, bone or joint easily established. I have the history of quite a number of cases in which there was no disease of gland, bone or joint and in which there was extensive disease of the fascia. There are two varieties. In

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