. Archives of physical medicine and rehabilitation . ones of the skull—none give thisdiffuse picture. Clinical History. This is againstmalignant disease, because the first bonegrowth was found five years ago. Forone year previous to this there had beenpain in the teeth. The patient alsogives a history of acute polyarthritistwenty-five years ago with recurrentmild attacks since. The second boneenlargement appeared three years afterthe first. Then nodules appearedrapidly, the last ten days ago. Withthe appearance of a bone nodule on theskull, there followed quickly over ittenderness and edema. T
. Archives of physical medicine and rehabilitation . ones of the skull—none give thisdiffuse picture. Clinical History. This is againstmalignant disease, because the first bonegrowth was found five years ago. Forone year previous to this there had beenpain in the teeth. The patient alsogives a history of acute polyarthritistwenty-five years ago with recurrentmild attacks since. The second boneenlargement appeared three years afterthe first. Then nodules appearedrapidly, the last ten days ago. Withthe appearance of a bone nodule on theskull, there followed quickly over ittenderness and edema. This has beenobserved by the patient and her physi-cian. The tenderness and edema dis-appear leaving the irregular thickeningon the surface of the skull. The patientthinks some of the bony nodules havedisappeared. Dr. Ginsberg has ob-served them to become smaller, butnever to disappear. With the appear-ance of the tenderness and edema thereis sometimes fever and a leukocytosisof 15,000 and a polymorphous leuko-cytosis of eighty-two per cent. There. Figrare XVII.—Case VIII.—Pathol. No. 29831. Infectionsossifying Veriostitis of bones of the sknll. Focns of in-fection root .ibecesses of teeth. 316 rig-are XVIII.—Case VIII.—Pathol. No. 29831. Infectionsosslfylngr periostitis of bones of the sknll. Focns of in-fection root abscesses of the teeth. INFECTIOUS OSSIFYING PERIOSTITIS—BLOODGOOD have also been intermittent attacks ofedema of the eyelid, the first two yearsago, the last two weeks ago; headacheshave been a prominent feature for twoyears without nausea or vomiting. Eightmonths ago there was blurring of visionwith choke disk which gradually disap-peared. A recent complete neurologicalexamination is negative. A nodule ap-peared some months ago on the riband disappeared. In spite of a negative Wassermannone year ago, antiluetic treatment waspushed to the limit without help. Every possible examination has beenmade, thoroughly and repeatedly. Thepositive findings are th
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