Cellulitis with underlying inflammatory periostitis of the mandible.

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    ABSTRACT: mobility continues to increase, knowledge of tropical radiology can no longer be left to the radiologists in the tropics. Tropical ulcers (Fig. I ; and 2, A and B) may be rel- atively easy to recognize if the patient is examined clinically, but unfortunately, in many busy radiology practices today, only the films are seen by the radiologist, not the patients themselves. Bone changes as- sociated with tropical ulcers, sometimes called "ulcer osteoma," are also easily rec- ognized if the radiologist is aware of the tropical condition, i.e., the overlying ulcer, otherwise they may be mistaken for a va- riety ofother lesions. Although there is extensive literature on the clinical aspects, etiology, and treatment of tropical ulcers,4'12'4"8 very little has been written on the roentgenologic aspects of this disease since the excellent summary by Brown and Middlemiss in I956.� Stan- dard textbooks of bone radiology and the American literature seem to lack reference to this condition. It is the purpose of this paper to review the clinical and roentgenologic features of tropicalulcers and the reactive bone changes associated with them. MATERIAL AND METHOD
    The American journal of roentgenology, radium therapy, and nuclear medicine 08/1970; 109(3):611-8.
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    ABSTRACT: This paper summarizes the clinical and roentgenographic findings in 15 children with acute suppurative infection of the epitrochlear lymph nodes.
    Pediatric Radiology 11/1977; 6(3):160-3. · 1.57 Impact Factor
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    ABSTRACT: The differential diagnosis of bone lesions in treponemal disease is well established in palaeopathology. However, the actual mechanism responsible for the characteristic distribution of bone involvement is not as clear. Two mechanisms are proposed in the literature. Firstly, that bone lesions are the result of direct extension from the skin rash of the secondary stage of disease. Secondly, that bones situated closer to the skin are more vulnerable to local trauma and therefore more likely to elicit a subperiosteal bone response. We propose an alternative explanation for the characteristic distribution of bone lesions in treponemal disease. This explanation is based on the close association between the lymphatic and skeletal systems and the pathogenesis of treponemal disease. This paper argues that the position of the lymphatic nodes and vessels, with little soft tissue intervention between bone tissue, mirrors the characteristic pattern of skeletal involvement in treponemal disease. Copyright © 2002 John Wiley & Sons, Ltd.
    International Journal of Osteoarchaeology 05/2002; 12(3):178 - 188. · 0.95 Impact Factor


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