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January 1966


Arch Dermatol. 1966;93(1):138-144. doi:10.1001/archderm.1966.01600190144032

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Stasis Ulcer With Periosteal Hyperostosis. Tophaceous Gout. Tinea Manuum, Tinea Pedis and Onychomycosis. Presented by Cdr D. L. Baxter, MC, USN.  The patient is a 52-year-old white man, employed as a bartender. His mother had diabetes mellitus but there are no other significant familial illnesses.

Past History.—  He had a compound fracture of the right tibia in 1959 and gouty arthritis with tophi since 1948 which has been managed with colchicine and probenecid (Benemid) with partial control.There is a history of recurrent ulceration of the lateral aspect of the right leg for the past three years with hospitalization at the US Naval Hospital in October of 1964 because of a chronic ulcer of the lateral aspect of the right leg of five weeks duration.

Physical Examination.—  The patient is a well developed, well-nourished male in apparent good

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