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July 22, 1911


Author Affiliations


JAMA. 1911;LVII(4):290. doi:10.1001/jama.1911.04260070294012

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It is estimated that there is about one case of Raynaud's disease among every thousand patients sick from all causes. The disease is, therefore, somewhat rare, and the following case is especially interesting because of its unusual severity, both with respect to the gangrene and the accompanying nervous symptoms.

Patient.  —E. J. C., a white man, was a farmer, aged 30, with good habits and no history of syphilis. His father is an alcoholic and his mother a syphilitic. About two years ago, while in good health, patient had a sudden dry gangrene of the tips of his right fingers, developing in a few hours. No exciting cause, as cold or emotional disturbance, was noticed, neither were any preliminary stages of pallor and cyanosis, but the patient was a poor observer, ignorant and unreliable. The attack was followed by sloughing of the necrotic tissue, but before the lingers were healed

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