MICHAEL SILVERMAN, M.D.
To the editor: In their recent report on sternocostoclavicular hyperostosis, Köhler and colleagues (Ann Intern Med 87:192-194, 1977) have introduced American internists to a curious and distinctive syndrome. Like any new report, though, their article raises several questions of practical and theoretical importance. There are two specific areas in which information would aid in the understanding of their case reports.
First, the authors make several allusions to an "inflammatory process." Indeed, the very high erythrocyte sedimentation rates and the increased uptake on bone scans are consistent with inflammation. Yet, the histologic reports give no evidence of such a process. Perhaps
SILVERMAN M. Sternocostoclavicular Hyperostosis. Ann Intern Med. ;87:797. doi: 10.7326/0003-4819-87-6-797_1
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Published: Ann Intern Med. 1977;87(6):797.
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