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July 1929


Author Affiliations

Washington, D. C.

Arch Derm Syphilol. 1929;20(1):94. doi:10.1001/archderm.1929.01440010102013

In the March, 1929, number of the Archives of Dermatology and Syphilology there appeared an article by Dr. William Allen Pusey on "ischemia of one finger." Dr. Pusey's statement regarding the rarity of the condition prompted me to report another instance.

The patient was a physician, aged 45, who had a ruptured appendix fifteen months before coming under my care. This had been followed by abscesses of the middle ear, Vincent's angina and a fractured transverse process of the third lumbar vertebra. Early in the summer of 1924, he went on a short vacation to one of the lakes in Maine, and on a warm day swam in cold water. When he emerged from the water, the middle finger of the right hand was stiff and painful; before he finished dressing it was absolutely white, and there was no evidence of circulation as revealed by pressure on the nail. All

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