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 ......


JAMA. 1900;XXXV(19):1221. doi:10.1001/jama.1900.02460450037011.
Text Size: A A A
Published online

Reclus and others have described a peculiar form of chronic inflammation of the skin and subcutaneous tissue characterized by a slow clinical course and by a wooden consistency, phlegmon ligneux, Holzphlegmon. Most frequently involving the neck and developing even for months without fever or pain, they so simulate malignant neoplasm that the termination in recovery may be the first means of reaching a correct diagnosis. In one case described by Reclus death resulted from a suddenly developing edema of the glottis. Various organisms, but especially streptococci and staphylococci, have been found in the exudate. Krause has described an instance involving the hypogastrium. Quite recently Chiari,1 of Prague, has added still another instance, which is quite remarkable because of the extent of the disease, the long duration, the absence of suppuration, and the final general infection with streptococci. The patient was a woman of 50 years. The inflammation probably originated


Sign in

Purchase Options

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

First Page Preview

View Large
First page PDF preview




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.