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Correspondence
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Volume 340:1123 April 8, 1999 Number 14
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Hallux Rigidus and Atrophy of Calf Muscles

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To the Editor: Unilateral calf swelling is abnormal and a cardinal manifestation of deep-vein thrombosis. The finding of asymmetry of the circumference of the two calves may lead to an extensive and occasionally invasive workup to rule out this potential cause of pulmonary embolism.

A 52-year-old woman who was being evaluated for nonspecific arthralgias noted that a recently purchased pair of knee-high boots was loose on one leg. Physical examination revealed a 2-cm difference in calf circumference at a point 15 cm below the insertion of patella, with no other abnormalities except for unilateral hallux rigidus on the smaller side. . . . [Full Text of this Article]

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