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Syringomyelia with a Charcot Joint and Sausage Fingers. Presented by Dr. Theodore Cornbleet and Dr. Earl R. Pace.
J. R., a Hungarian aged 55, a butcher, entered the Cook County Hospital because of cirrhosis of the liver and was referred to the dermatologic clinic because of the condition of his left hand. He stated that his left elbow began to swell after sustaining mild trauma about eight years ago. At present the elbow presents a typical Charcot joint, verified by roentgen examination. The left hand had slowly become deformed, the deformation being influenced also by several painless cuts, which, according to the patient, healed rapidly.
Typical sausage fingers are present, with gross enlargement, thickening of the skin and abrupt tapering of the finger-tips. Interosseous atrophy is pronounced, and there are atrophy and weakening of the muscles of the hand, forearm and arm to the deltoid and infraspinatous muscles. Muscle and
Max S. Wien, William Allen Pusey. CHICAGO DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1936;33(3):588–594. doi:10.1001/archderm.1936.01470090178023