. Journal of radiology . of thepelvis, right hip, and femur, with early imvolvementof the left hip. head was enlarged and pyramidalshaped. He had mature right andleft senile cataracts. The systolicblood pressure was 125, the dias-tolic 70. The blood count wasnormal. The urine contained aslight amount of albumin and afew pus cells. The combined phe- Page Nineteen ite osteitis deformans (Fig. 13).Case 15 (343042) Mr, D. B., aged 46, came to theClinic December 7, 1920 com-plaining of a tumor in the regionof the left hip. About 14 years before the pa-tient began to notice that his right PAGETS DIS
. Journal of radiology . of thepelvis, right hip, and femur, with early imvolvementof the left hip. head was enlarged and pyramidalshaped. He had mature right andleft senile cataracts. The systolicblood pressure was 125, the dias-tolic 70. The blood count wasnormal. The urine contained aslight amount of albumin and afew pus cells. The combined phe- Page Nineteen ite osteitis deformans (Fig. 13).Case 15 (343042) Mr, D. B., aged 46, came to theClinic December 7, 1920 com-plaining of a tumor in the regionof the left hip. About 14 years before the pa-tient began to notice that his right PAGETS DISEASE—C thigh was becoming bowed andhis leg getting shorter. This pro-gressed for three years, unaccom-panied by pain or other and one-half years before,while playing tennis, he had hada sudden attack of severe pain inthe sacral region, not sufficient,however, to confine him to months later when running tocatch a boat, he fell and injuredhis left hip. lie was in bed tendays, used crutches for three. Fig| XV.—Case 343042—Close-upview of the left ilium, showing en-largement, areas of absorption vary-ing in size, and coarse trabeculationsomewhat resembling giant-celltumor. Absorption to this extent isan unusual finding in Pagets disease months and a cane for one physician said he had tornsome ligaments. One year later,five years before examination, henoticed a rapidly growing tumorabove the left hip; this did notcause pain. Clinical patient appeared well nour-ished. His head was not enlarged;the spine was not deformed. The ARMAN AND CARRICK right femur was very markedlybowed forward and outward, andthere was a large hard mass inconnection with the left ilium. Theskin over the mass was coveredw ith distended veins. 1 he urinalysis showed a largeamount of albumin and a moder-ate amount of pus cells; the bloodcount w as normal and the Was-sermann reaction negative. Thesystolic blood pressure was 132and the diastolic 84. Roentgenologic F
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