title: The search for the missing 50-year-old gold.
abstract: Intramuscular and subcutaneous injections of foreign bodies have been used for a number of years for a variety of reasons, including medical and cosmetic purposes. The author describes a case of chronic wound complications secondary to intramuscular gold injections for the treatment of rheumatoid arthritis. The lesions were completely excised, the defect first treated with negative-pressure wound therapy, and, ultimately, split-thickness skin grafting with excellent functional result.
authors.affiliation: David B. Violette Jr, MD, is Staff Surgeon, Lewis Gale Medical Center, Salem, Virginia. Dr Violette has disclosed that his institution has received past funding from Cook Biotech for the provision of writing assistance, medicines, equipment, or administrative support.
authors.forename: David B
authors.initials: DB
authors.lastname: Violette
mesh_terms: D000369:Aged, 80 and over; D001172:Arthritis, Rheumatoid / Q000188:drug therapy*; D002114:Calcinosis / Q000139:chemically induced* / Q000601:surgery; D005260:Female; D006046:Gold / Q000008:administration & dosage / Q000009:adverse effects*; D006615:Hip; D006801:Humans; D007273:Injections, Intramuscular / Q000009:adverse effects; D054843:Negative-Pressure Wound Therapy; D012867:Skin / Q000293:injuries*; D016038:Skin Transplantation; D014947:Wounds and Injuries / Q000209:etiology / Q000601:surgery
chemical_list: D006046:Gold