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Case Reports
May 1939

MULTIPLE CYSTIC TUBERCULOSIS OF BONE IN A CHILDFURTHER OBSERVATIONS ON A CASE; ROENTGEN PROGRESS FOR TWO YEARS

Am J Dis Child. 1939;57(5):1072-1074. doi:10.1001/archpedi.1939.01990050078008
Abstract

The present communication concerns the case of multiple cystic tuberculosis of the bones which I reported in a previous issue of the American Journal of Diseases of Children.1

Multiple cystic tuberculosis involving the small long bones of the hands or feet or the long hollow bones is rare in adults or children. The earlier reports indicated that this condition affects only young adults and that the lesions are characteristically confined to the small bones of the hands and feet. Emphasis was placed on distinct types of lesions visible on roentgen observation. Jüngling2 described two main types, the diffuse and the circumscribed. In the diffuse type both the cortex and the medulla of the bone are involved with a weblike structure of increased density. The diameter of the bone is increased, and destruction of a phalanx may occur. Sclerosis is negligible. The circumscribed type consists mainly of a punched-out

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