We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Gas in Soft Tissues of Forearm in an 18-Year-Old Emotionally Disturbed Diabetic

Rodney K. Kusumi, MD; Joseph F. Plouffe, MD
JAMA. 1981;246(6):679-680. doi:10.1001/jama.1981.03320060081028.
Text Size: A A A
Published online


History  An emotionally disturbed 18-year-old diabetic woman was admitted to the hospital because of a "sore" on her right forearm of ten days' duration, for which she had been taking erythromycin estolate orally in addition to local cleansing of the infected area with hydrogen peroxide. Physical examination showed a 3×3-cm noninflamed ulcer on the volar aspect of the right forearm. Crepitation was detected along the right upper extremity. Vital signs were normal.A roentgenogram of the right forearm demonstrated the typical stigmata of gas in the soft tissues of the forearm. A metallic foreign body suggesting the tip of a needle is observed in the soft tissues near the wrist (Figure).

Diagnosis  Gas in soft tissues of forearm due to self-injection of air.

Comment  The patient had a history of psychiatric problems. Although she irrigated her wound of the forearm with hydrogen peroxide, she admitted to injecting air into the


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.