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A correction has been published: N Engl J Med 2000;342(21):1620.

Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 342:875-883 March 23, 2000 Number 12
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Case 9-2000— A 41-Year-Old Man with Multiple Bony Lesions and Adjacent Soft-Tissue Masses
Randy N. Rosier, and Andrew E. Rosenberg

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Presentation of Case

A 41-year-old man was admitted to the hospital because of pain in multiple bones.

The patient had been well until eight years earlier, when he had a mandibular abscess that resulted in the loss of his lower central incisors. He had an uneventful recovery, but in the ensuing years he began to have diffuse bone pain. He was told that he had mild diabetes mellitus. Eighteen months before admission, he began to limp because of increasing pain in the knees and ankles, and six months later, he began to use a cane. Subsequently, he had two fractures of the left . . . [Full Text of this Article]

Differential Diagnosis

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Dr. Randy N. Rosier's Diagnosis

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