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August 1944


Author Affiliations


From the Pittsburgh Skin and Cancer Foundation.

Arch Derm Syphilol. 1944;50(2):123. doi:10.1001/archderm.1944.01510140046011

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Miss A. K. F., a 56 year old white American, a graduate and practicing nurse, was examined on Jan. 7, 1944, on account of a persistent dermatitis which affected the flexor surfaces of all the fingers and both thumbs. This had persisted in spite of treatment for over two years and, on account of the particular areas involved, had greatly handicapped the patient in the pursuit of her occupation.

The inflammation had caused some thickening and cracking of the skin of the tips of her fingers and thumbs. At several points the fissures extended through the entire thickness of the skin and thus rendered the phalanges painful and tender. The process was sharply limited to the cutaneous surface of the distal phalanges only.

Topical applications of an ointment, low voltage roentgen ray treatments, ultraviolet irradiations, injections of vitamins and/or foreign protein, use of sulfonamide compounds and a wide

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