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February 1940


Arch Derm Syphilol. 1940;41(2):410-427. doi:10.1001/archderm.1940.01490080219017

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Myositis Ossificans. Presented by Dr. Bernard Appel, Boston.  In 1924 this patient, a 37 year old Negro choreman, had a crushing injury of his left thigh, with avulsion of skin and muscle tissue. The area healed with formation of a keloidal scar. About three months ago the center of the scar broke down, and an ulcer resulted, from which spicules of bone protruded.The patient repeatedly showed a positive Hinton reaction and is now receiving active antisyphilitic therapy. There is no clinical evidence of either early or late active syphilis.Examination shows an ulcerated area 2 inches (5 cm.) in diameter in the middle of the lateral aspect of the left thigh. This is located in the center of a long band of keloidal scar tissue extending from the upper part of the thigh to a point several inches below the knee. There are many spicules of bone protruding from

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