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March 1958


Author Affiliations

Assistant Medical Director John Hancock Mutual Life Insurance Company Boston, 17

AMA Arch Surg. 1958;76(3):475-476. doi:10.1001/archsurg.1958.01280210145032

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To the Editor:  —The article entitled "Ainhum (Dactylosis Spontanea)" by W. L. Norton, A. M. Sala, and M. E. Silverstein, in the September, 1957, issue of the Archives, has attracted my special attention because of a pertinent incident in my naval experience which may sufficiently engage your interest to merit publication.In 1945, while serving as Chief of Surgery at the U. S. Naval Hospital, No. 203, in Guam, Marianna Islands, a man in his middle 60's was admitted to my service with an unrelated condition. He had, as an incidental finding, what appeared to be a typical example of well-advanced ainhum, involving his fourth right toe. He offered no complaint with respect to it. I "recognized" it at once, and, aware of its unusual nature, I demonstrated the case to a number of colleagues from a nearby NAMRU (Naval Medical Research Unit). These included a prominent dermatologist and consultants

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