THE JOURNAL OF BONE AND JOINT SURGERY THE DIAGNOSIS AND TREATMENT OF PIGMENTED VILLONODULAR SYNOVITIS 291 self-perpetuating process which led ultimately to pigmented villonodular synovitis. Geschickter and Copeland (1949) suggested that the lesions originate from osteoclasts in sesamoid bones, but the anatomical sites of the lesions (fingers, hips, knees, ankles) make this view untenable.

Numerous descriptions have been applied to rosacea-like eruptions of the face, some of them remaining of questionable nosologic significance. A case of rosacea-like syndrome with lacrimal, ocular and salivary involvement is described. The differential diagnosis and therapeutic response of this unusual association are discussed.

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