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increased density in the lower portion of the tibia and the articular
surface of the astragalus showed beginning erosion.
2ND CASE: MRS. J. LARICE. Throughout the pelvis
bones could be seen striations of increased bond density running
through the ilia and sacrum, these lines showing no regular con-
formation and not simulating any previously known bone disease. The
ilial tuberosities appeared slightly involved. The left hip showed
a slight irregularity in the outline of the head of the femur in-
dicating a beginning erosion.
3RD OASE: Mrs. EDNA HUSSMAN. Plates dated
November 1925 showed a "pathological" fracture of the neck of the
left femur. Films of November 6, 1926, show union. As to this
case I do not have any other knowledge as to the cause of the
fracture than Dr. Humphrey's statement that it was a radium case
and that no trauma was received. As to the bone changes, they were
not typical as in the other cases, there being an absence of erosion
or the striations above described.
4TH CASE: MRS. QUINTO McDONALD. The heads of both
femurs showed areas of diminished density and bone or calcific (lime)
shadows were seen along the necks and heads of both femurs (result
of bone stimulation), In both hips the articular surfaces showed
slight erosion.
5TH OASE. GRACE FRYER. This case showed involve-
ment of spine and left foot. The bodies of the first, second and
third lumbar vertebrae were much diminished in density and although
the cortex was not destroyed erosion not yet having occurred, the
outlines suggested pressure with indentation of the superior and
inferior surfaces.
In the left foot there was a lesion of the
soaphoid bone which was partly destroyed with marked change in its
contour going hand in hand with increased density throughout the
bone. The appearance of this bone is similar to that in which bone
destruction from infection has occurred and when repair has started.
The films of this foot were identical with those of Miss Eckert
whom I xrayed at my office last year for the same disease and in
whom not knowing of her previous exposure to this condition and not
having had other experience I at first made an incorrect diagnosi S.
These two cases showed such similar appearances in the same bon S that
if the films were not marked for identification could not be told
apart.
Very truly yours,
C. F. BAKER, M. D.
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"ocrText": "increased density in the lower portion of the tibia and the articular\nsurface of the astragalus showed beginning erosion.\n2ND CASE: MRS. J. LARICE. Throughout the pelvis\nbones could be seen striations of increased bond density running\nthrough the ilia and sacrum, these lines showing no regular con-\nformation and not simulating any previously known bone disease. The\nilial tuberosities appeared slightly involved. The left hip showed\na slight irregularity in the outline of the head of the femur in-\ndicating a beginning erosion.\n3RD OASE: Mrs. EDNA HUSSMAN. Plates dated\nNovember 1925 showed a \"pathological\" fracture of the neck of the\nleft femur. Films of November 6, 1926, show union. As to this\ncase I do not have any other knowledge as to the cause of the\nfracture than Dr. Humphrey's statement that it was a radium case\nand that no trauma was received. As to the bone changes, they were\nnot typical as in the other cases, there being an absence of erosion\nor the striations above described.\n4TH CASE: MRS. QUINTO McDONALD. The heads of both\nfemurs showed areas of diminished density and bone or calcific (lime)\nshadows were seen along the necks and heads of both femurs (result\nof bone stimulation), In both hips the articular surfaces showed\nslight erosion.\n5TH OASE. GRACE FRYER. This case showed involve-\nment of spine and left foot. The bodies of the first, second and\nthird lumbar vertebrae were much diminished in density and although\nthe cortex was not destroyed erosion not yet having occurred, the\noutlines suggested pressure with indentation of the superior and\ninferior surfaces.\nIn the left foot there was a lesion of the\nsoaphoid bone which was partly destroyed with marked change in its\ncontour going hand in hand with increased density throughout the\nbone. The appearance of this bone is similar to that in which bone\ndestruction from infection has occurred and when repair has started.\nThe films of this foot were identical with those of Miss Eckert\nwhom I xrayed at my office last year for the same disease and in\nwhom not knowing of her previous exposure to this condition and not\nhaving had other experience I at first made an incorrect diagnosi S.\nThese two cases showed such similar appearances in the same bon S that\nif the films were not marked for identification could not be told\napart.\nVery truly yours,\nC. F. BAKER, M. D."
}