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Scleroderma and Sclerodactylia Associated with Intermittent Claudication. Presented by Dr. Saul S. Robinson.
C. B., a white married man aged 56, noticed about ten years ago that his fingertips were cold to the touch and that at the tips of several fingers there developed calluses, which disappeared after a short time. During the past year, the skin on the fingers has become thickened, hard, rigid and bluish white. About six weeks before he consulted me, the patient filed the nails of his right hand, and the index and middle fingers became infected. Under the nail beds of these two fingers appeared painful, slow, indolent ulcers, which were stubborn in healing. The fingertips have been cold to the touch. During the past few months severe pain has been felt in the lower part of the right leg during walking, which has necessitated rest before walking could be continued.Examination