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Discrete Keratodermas over the Knuckle and Finger Articulations

Discrete Keratodermas over the Knuckle and Finger Articulations Abstract Circumscribed thickening of the skin over the metacarpophalangeal and interphalangeal articulations was first described by Garrod, who reported 3 cases in 18931 and 12 cases in 1904.2 Since then, infrequent references have appeared in dermatologic literature and this entity is discussed in only one available textbook on dermatology.3 The affliction is probably not unusual but has lacked attention because it is rarely a presenting complaint by the patient and escapes notice in routine dermatologic examinations. This article will present 30 patients manifesting this dermatosis and will primarily discuss etiologic factors. Unfortunately, in the literature, thickenings over the finger and knuckle articulations have been called "knuckle pads," giving the impression that only the knuckles are involved. This is not true, as will be shown, because many appear over the finger joints; in fact, the proximal phalangeal joints are most frequently involved. A more accurate clinical References 1. Determinations performed in pediatric laboratory, Miss Mary O'Brien, technician. 2. References 8 and 9. 3. Garrod, A. E.: On an Unusual Form of Nodule upon the Joints of the Fingers , St. Bartholomew's Hosp. Rep. 29:157-161, 1893. 4. Garrod, A. E.: Concerning Pads Upon the Finger Joints and Their Clinical Relationship , Brit. M. J. 2:8, 1904.Crossref 5. Sutton, R. L., and Sutton, R. L., Jr.: Diseases of the Skin , Ed. 10, The C. V. Mosby Company, St. Louis, 1939. 6. Wise, F., and Sulzberger, M. B.: Editorial Comment, Year Book of Dermatology and Syphilology , Chicago, The Year Book Publishers, Inc., 1937, p. 276. 7. Michael. J. C.: Keratoderma Disseminatum Palmaris et Plantaris: Its Mode of Inheritance , Arch. Dermat. & Syph. 27:78-88, 1933. 8. Loewenthal, L. J. A.: New Cutaneous Manifestations in Syndrome of Vitamin A Deficiency , Arch. Dermat. & Syph. 28:700-708, 1933. 9. Cornbleet, T.; Popper, H., and Steigmann, F.: Blood Vitamin A and Cutaneous Diseases , Arch. Dermat. & Syph. , 49:103-106, 1944. 10. Wise, F., and Sulzberger, M. B.: Editorial Comment, Year Book of Dermatology and Syphilology , Chicago, The Year Book Publishers, Inc., 1934, p. 204. 11. Wise, F., and Sulzberger, M. B.: Editorial Comment, Year Book of Dermatology and Syphilology , Chicago, The Year Book Publishers, Inc., 1934, p. 206. 12. Wise, F., and Sulzberger, M. B.: Editorial Comment, Year Book of Dermatology and Syphilology , Chicago, The Year Book Publishers, Inc., 1934, p. 209. 13. Leitner, Z. A., and Moore, T.: Vitamin A in Darier's Disease , Brit. J. Dermat. 60:41-50, 1948. 14. Sulzberger, M. B., and Baer, R. L.: Some Advances in Dermatologic Management, Year Book of Dermatology and Syphilology , Chicago, The Year Book Publishers, Inc., 1946, p. 7. 15. Sulzberger, M. B., and Baer, R. L.: Editorial Comment, Year Book of Dermatology and Syphilology , Chicago, The Year Book Publishers, Inc., 1948, p. 249. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives of Dermatology American Medical Association

Discrete Keratodermas over the Knuckle and Finger Articulations

A.M.A. Archives of Dermatology , Volume 71 (3) – Mar 1, 1955

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Publisher
American Medical Association
Copyright
Copyright © 1955 American Medical Association. All Rights Reserved.
ISSN
0096-5359
DOI
10.1001/archderm.1955.01540270061007
Publisher site
See Article on Publisher Site

Abstract

Abstract Circumscribed thickening of the skin over the metacarpophalangeal and interphalangeal articulations was first described by Garrod, who reported 3 cases in 18931 and 12 cases in 1904.2 Since then, infrequent references have appeared in dermatologic literature and this entity is discussed in only one available textbook on dermatology.3 The affliction is probably not unusual but has lacked attention because it is rarely a presenting complaint by the patient and escapes notice in routine dermatologic examinations. This article will present 30 patients manifesting this dermatosis and will primarily discuss etiologic factors. Unfortunately, in the literature, thickenings over the finger and knuckle articulations have been called "knuckle pads," giving the impression that only the knuckles are involved. This is not true, as will be shown, because many appear over the finger joints; in fact, the proximal phalangeal joints are most frequently involved. A more accurate clinical References 1. Determinations performed in pediatric laboratory, Miss Mary O'Brien, technician. 2. References 8 and 9. 3. Garrod, A. E.: On an Unusual Form of Nodule upon the Joints of the Fingers , St. Bartholomew's Hosp. Rep. 29:157-161, 1893. 4. Garrod, A. E.: Concerning Pads Upon the Finger Joints and Their Clinical Relationship , Brit. M. J. 2:8, 1904.Crossref 5. Sutton, R. L., and Sutton, R. L., Jr.: Diseases of the Skin , Ed. 10, The C. V. Mosby Company, St. Louis, 1939. 6. Wise, F., and Sulzberger, M. B.: Editorial Comment, Year Book of Dermatology and Syphilology , Chicago, The Year Book Publishers, Inc., 1937, p. 276. 7. Michael. J. C.: Keratoderma Disseminatum Palmaris et Plantaris: Its Mode of Inheritance , Arch. Dermat. & Syph. 27:78-88, 1933. 8. Loewenthal, L. J. A.: New Cutaneous Manifestations in Syndrome of Vitamin A Deficiency , Arch. Dermat. & Syph. 28:700-708, 1933. 9. Cornbleet, T.; Popper, H., and Steigmann, F.: Blood Vitamin A and Cutaneous Diseases , Arch. Dermat. & Syph. , 49:103-106, 1944. 10. Wise, F., and Sulzberger, M. B.: Editorial Comment, Year Book of Dermatology and Syphilology , Chicago, The Year Book Publishers, Inc., 1934, p. 204. 11. Wise, F., and Sulzberger, M. B.: Editorial Comment, Year Book of Dermatology and Syphilology , Chicago, The Year Book Publishers, Inc., 1934, p. 206. 12. Wise, F., and Sulzberger, M. B.: Editorial Comment, Year Book of Dermatology and Syphilology , Chicago, The Year Book Publishers, Inc., 1934, p. 209. 13. Leitner, Z. A., and Moore, T.: Vitamin A in Darier's Disease , Brit. J. Dermat. 60:41-50, 1948. 14. Sulzberger, M. B., and Baer, R. L.: Some Advances in Dermatologic Management, Year Book of Dermatology and Syphilology , Chicago, The Year Book Publishers, Inc., 1946, p. 7. 15. Sulzberger, M. B., and Baer, R. L.: Editorial Comment, Year Book of Dermatology and Syphilology , Chicago, The Year Book Publishers, Inc., 1948, p. 249.

Journal

A.M.A. Archives of DermatologyAmerican Medical Association

Published: Mar 1, 1955

References