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October 1947


Author Affiliations


From the Departments of Laboratory and Dermatology of the Jewish Hospital of Brooklyn.

Arch Derm Syphilol. 1947;56(4):506-510. doi:10.1001/archderm.1947.01520100102014

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CHRONIC ulceration of the lower extremities is one of the more common perplexing problems of medical practice. The following case is reported because of the unusual histologic observations. A thorough search of recent literature failed to reveal any comparable cases.

REPORT OF A CASE  W. J., a Negro, aged 30, was first admitted on Jan. 15, 1932 for surgical treatment of a duodenal ulcer. Examination on admission revealed as an incidental discovery ulceration on the front of the left leg, occupying the entire mid-portion, 5 inches (12.7 cm.) in length and 2 inches (5 cm.) in width and covered by a firmly adherent brown crust. The surrounding skin was deeply pigmented. No discharge was noted. The patient stated that at the age of 9, following a blow to this region a sore developed which discharged pus and then pieces of bone. Frequently the lesion would heal over completely and then

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