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September 1949


Author Affiliations


From the Section of Dermatology, Sub-Department of Medicine, Dr. J. C. Meakins, Physician in Chief, Royal Victoria Hospital.

Arch Derm Syphilol. 1949;60(3):426-427. doi:10.1001/archderm.1949.01530030122013

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Recently, I had the opportunity of observing a patient with juxta-articular nodes. The unusual localization of these nodules warrants a short report.

Multiple nodes on the fingers and palms of left hand.


A 54 year old white Canadian, unaware of his syphilitic infection, had observed during the previous four years slowly growing painless nodes on the fingers and palms of both hands. One node was removed surgically, and the diagnosis of a simple fibroma was made. The patient was then referred to me, and examination revealed the following conditions.

There were numerous hard, indolent nodes on the palms of both hands and on the palmar and lateral surfaces of the fingers, about the joints. They varied in size from that of a split pea to button-like infiltrations about 1 cm. in diameter (figure). The overlying skin was normal in color and texture and was

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