. The American journal of tropical medicine. tendons havepartly disappeared. Most muscles, except those attached to the oscalcis have disappeared. The place of the fat is taken by a dense massof connective tissue, which extends to the bones. Above the bony arch are numerous sinuses, some lying singly, otherscloselj^ grouped, surrounded by dense strands of connective are from 1 to 2 mm. in dianu^ter, though they may have expansions4 mm. wide. A few are filled with translucent material, others appearempty. In some are seen y(>llowish, mulberry shaped granules, notover 1 mm. in dia
. The American journal of tropical medicine. tendons havepartly disappeared. Most muscles, except those attached to the oscalcis have disappeared. The place of the fat is taken by a dense massof connective tissue, which extends to the bones. Above the bony arch are numerous sinuses, some lying singly, otherscloselj^ grouped, surrounded by dense strands of connective are from 1 to 2 mm. in dianu^ter, though they may have expansions4 mm. wide. A few are filled with translucent material, others appearempty. In some are seen y(>llowish, mulberry shaped granules, notover 1 mm. in diameter, apparently filling the entire lumen of the sinuses are lined by a yellowish necrotic membrane of varying 246 MARK F. BOYD AND EARL D. CRUTCHFIELD thickness. The sinuses extend up to the summits of the cutaneousnodules. These nodules have a base in the form of an inverted cone,extending from 5 to 10 mm. into the connective tissue. Below thebony arch a few sinuses are seen. All are localized to the anterior halfof the Fig. G. Foot of Case 30 (Crutchfield) Cose 30 (Crutchfield). (Fig. 6.) Description of the living foot isgiven. The swelHng of the right foot is limited to the region of theankle, the protuberences of the malleoh being obscured. On the outerside the swelling extends about an inch posteriorly and interiorly to MYCETOMA IN NORTH AMERICA 247
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Keywords: ., bookcentury1900, bookdecade1920, booksubjecttropica, bookyear1921
