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April 1941


Arch Derm Syphilol. 1941;43(4):736-739. doi:10.1001/archderm.1941.01490220132025

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Synovial Cyst. Presented by Dr. Henry D. Niles.  K. B., a man born in the United States, was first seen on May 18, 1940, because of erythema and edema of fourteen months' duration, involving the nail fold of the right ring finger. This area was only slightly painful at times. The condition has gradually become worse. There are also dystrophy and discoloration of the nail. Four days ago the patient's finger was incised and pus was expressed. There was no history of preceding trauma.Wet dressings of a 1: 5,000 metaphen solution were applied, with improvement. At this time roentgen ray therapy was instituted. He was given twelve treatments of unfiltered roentgen rays (75 r each), following by four exposures of 75 r filtered through 3 mm. of aluminum, with little improvement. On several occasions a glairy gelatinous fluid was expressed from under the nail fold. This usually required considerable

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