. The American journal of tropical medicine. finite rounded convexity from 2 to 5 mm. indiameter, and up to 2 mm. in height, round or oval, with fairly definiteedges and an ochre yellow color. Some may show a definitely pointedapex of a darker color, 3. Elevations of a character similar to that just described, but whoseapices are marked by fistulous openings from 1 to 3 mm. in diameter,connecting with the interior of the foot. Internal changes: The foot was divided into eight sections by seventransverse incisions. The first incision, across the ball of the foot, wasmade completely with the kni


. The American journal of tropical medicine. finite rounded convexity from 2 to 5 mm. indiameter, and up to 2 mm. in height, round or oval, with fairly definiteedges and an ochre yellow color. Some may show a definitely pointedapex of a darker color, 3. Elevations of a character similar to that just described, but whoseapices are marked by fistulous openings from 1 to 3 mm. in diameter,connecting with the interior of the foot. Internal changes: The foot was divided into eight sections by seventransverse incisions. The first incision, across the ball of the foot, wasmade completely with the knife, in all the others, the bony structuresrequired sawing. The subcutaneous fat has altogether disappeared from the plantarsurface, except at the extreme anterior end, and only minute lobulesremain on the dorsum. In its place there is a great increase in denseconnective tissue, most marked on the dorsum where it is 2 cm. thick,but extending entirely throughout the foot. ]\Iuscles have nearly alto- MYCETOMA IN NORTH AMERICA 243 TTyi /p £\ ^. h Fig. 3. Foot of Case 27 (Singleton)


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Keywords: ., bookcentury1900, bookdecade1920, booksubjecttropica, bookyear1921