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August 1926


Arch Derm Syphilol. 1926;14(2):204-208. doi:10.1001/archderm.1926.02370200098013

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Scleroderma and Sclerodactylia. Presented by Dr. Berkowitz.  F. F., a woman, aged 39, had a fixed, drawn expression of the face; the cheeks were yellowish, rather taut and immobile; around the lips were many vertical lines giving the mouth a drawn appearance. The scalp showed marked alopecia with very fine dry hair. The arms were slightly red and rather hot to the touch, while the dorsa of the hands and fingers were cold, clammy and slightly cyanotic. The terminal phalanges and nails were nearly obliterated, leaving only about one-eighth inch of discolored brownish curved nail. The right fifth finger was contracted and very much more erythematous than the others. The skin was quite shiny. The fingers were all in a semiflexed position, with but about one third the normal motion present. The legs showed a bluish-red, cold, shiny surface, and the soles were cold and cyanotic. The right inner malleolus

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