FEATURES: CASE REPORTThe Search for the Missing 50-Year-Old GoldViolette, David B. Jr MDAuthor Information 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. Acknowledgments: The use of the Oasis Tri-Layer Matrix was provided at no cost to the patient for use in this case by Cook Biotech. The author thanks wound care nurses Connie Bocanegra, RN, and Jessie Patterson, RN, for the many hours of guidance, common sense, and reality checks that they provided. Submitted October 22, 2013; accepted November 11, 2013. Advances in Skin & Wound Care: October 2014 - Volume 27 - Issue 10 - p 444-446 doi: 10.1097/01.ASW.0000450830.27549.47 Buy Metrics 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. Copyright © 2014 Wolters Kluwer Health, Inc. All rights reserved.