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Multiple Gummas of Heart in New Born.

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By Williams John W..  (Amer. Jour. of Pathology. , Sept., 1930; , p. 573.).

Ann Intern Med. 1930;4(6):643. doi:10.7326/0003-4819-4-6-643_2
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Williams reports the case of a full term negro female infant, aged 3 hours, in whose heart multiple grayish nodlues were found. These were firm, well demarcated, and showed a small central area of softening. Microscopically they consisted of shrunken muscle fibers with varying amounts of a mucoid and vacuolated substance separating the muscle fibers. This substance has the appearance of débris and contains bits of striated muscle fiber, lymphocytes, plasma cells, monocytes, and polymorphonuclear leucocytes, giving the impression that muscle tissue which might once have been present had been dissolved, and its place partially filled with these cells. Other


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