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December 1933


Author Affiliations


From the Dermatological Service, Cook County Hospital, Chicago.

Arch Derm Syphilol. 1933;28(6):807-809. doi:10.1001/archderm.1933.01460060044007

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This case is reported because of the extreme malformation of the toe-nails associated with a marked lichenification of the skin on the legs and hyperkeratosis of the soles.

A colored woman, aged 73, was admitted to the Cook County Hospital with a generalized arteriosclerosis, hypertension and arthritis of the hip. In addition, she presented an unusual deformity of the toe-nails. She stated that in recent years her toe-nails had shown a tendency to rapid growth, and that she had had them trimmed frequently. Because of her arthritis she was unable to bend over to cut her nails, and was dependent on others to do this. The nails had not been cut for the past two years, with the resultant overgrowth noted at the time of the examination (figs. 1 and 2).

She presented a deformity consisting of increased length and thickening of all the toe-nails. The great toe-nail showed the

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