Case Reports
September 1940


Author Affiliations

From the Department of Pathology, Cornell University Medical College, and the New York Hospital.

Am J Dis Child. 1940;60(3):660-668. doi:10.1001/archpedi.1940.02000030192021

• The condition characterized by elongation and narrowness of the long bones, particularly those of the metacarpals, fingers and toes, was named dolichostenomélie (long narrow limbs)) by Marfan in 1896.1 It is now more generally called arachnodactyly (spider fingers), a term first used by Achard in 1902.2 About 200 cases have been reported to date.3 Several observers4 have found a definite familial incidence in arachnodactyly. The condition is important chiefly because of serious lesions that accompany the bony abnormality. As is mentioned by Lloyd4a and Burch,4c dislocation of the lenses of the eyes occurs in at least half of the cases. Spinal curvature was reported first by Méry and Babonneix5 and is usually present,4a being found especially as kyphosclerosis. These spinal deformities are generally attributed to muscular weakness rather than to bony deformity. Piper and Irvine-Jones6 stated that congenital disease of

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