Raynaud's Disease. Presented by Dr. Maurice J. Costello.
A 59-year-old man has had this condition since 1952. Prior to that time he had severe acne, and in 1951 he developed severe universal edema for which he was hospitalized. A biopsy at that time showed no specific pathology. During a period of several weeks, when he developed this edema, he gained 25 lb. Following this condition, he noticed a permanent swelling of his fingers, stiffness, tightness of the skin, and color changes, depending upon changes in temperature. He was seen in the diagnostic clinic at Mount Sinai Hospital and was reported to have acrosclerosis with Raynaud's disease without corroborative pathology on biopsy. He has had no difficulty in swallowing, nor has he had sclerodermatous changes in the face, neck, shoulder girdle, or arms.Of recent date, he developed soreness and ulceration of the tips of the fingers with foreshortening of the