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Massive Swelling of the Foot in a 63-Year-Old Man
Kakarla Subbarao, MD;
Herman Lubetsky, MD
JAMA. 1982;248(23):3173-3174.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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History
A 63-year-old nondiabetic man residing in a nursing home experienced painless massive nodular swellings of the left ankle and foot during a period of several months. Ulceration, draining sinus tracts, and foul-smelling discharge developed in the foot. The patient was treated with multiple antibiotics, external medication, and dressing, without improvement. The patient was ill-nourished on examination and demonstrated an organic brain syndrome. Physical examination results were otherwise normal. Investigations included a complete blood cell count, ESR, and chest roentgenogram, all of which gave normal results. Roentgenograms of the foot (Figs 1 and 2) were obtained.
Diagnosis
Madura foot.
Comment
An anteroposterior view of the foot with soft-tissue technique (Fig 1) and a well-penetrated roentgenogram (Fig 2) demonstrate diffuse, lobulated, nodular soft-tissue swellings enveloping the foot. Calcification is absent in the soft-tissue nodules. The underlying osseous structures do not show any erosion, reactive new bone, periosteal reaction, or osteomyelitis. The
. . . [Full Text PDF of this Article]
Author Affiliations
From the Department of Radiology, Montefiore Hospital and Medical Center, Albert Einstein College of Medicine, Bronx, NY. Dr Lubetsky is now with the Department of Radiology, Presbyterian Hospital, Columbia University College of Physicians and Surgeons, New York.
Footnotes
Reprint requests to Department of Radiology, Montefiore Medical Center, 111 E 210th St, Bronx, NY 10467 (Dr Subbarao).
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