DISABLING CHANGES IN THE HANDS RESEMBLING SCLERODACTYLIA FOLLOWING MYOCARDIAL INFARCTION
Authors: Alf C. Johnson
Journal: Annals of Internal Medicine (1943)

Article1 September 1943DISABLING CHANGES IN THE HANDS RESEMBLING SCLERODACTYLIA FOLLOWING MYOCARDIAL INFARCTIONALF C. JOHNSON, M.D., F.A.C.P.ALF C. JOHNSON, M.D., F.A.C.P.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-19-3-433 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptDisabling trophic changes and deformities of the hands and fingers resulting from local ischemia are well recognized sequelae of "external" vasoconstriction from the splinting of injured hands and of "intrinsic" vasoconstriction from overactivity of the sympathetic nervous system. Scleroderma and sclerodactylia develop in Raynaud's disease and are regarded as among its most troublesome complications.1 Similar trophic changes in the hands occurring as a sequel of acute myocardial infarction in 39 of 178 (21.8 per cent) consecutive cases of myocardial infarction are the subject of this report.The first case (Case 18 in table 1), was referred early in 1937 by...Bibliography1. CRAIGHORTON WMBT: Diagnosis and treatment of vascular disorders of the extremities, Surg. Clin. N. Am., 1938, W. B. Saunders, Philadelphia. Google Scholar2. LONGCOPE WT: Scleroderma, Oxford Medicine, 1934, vi, 828 (6). Google Scholar3. BARKER LF: Diseases of the sympathetic system: scleroderma, Monographic Medicine, 1916, D. Appleton-Century, New York, vi, p. 1077. Google Scholar4. HOWARD T: Cardiac pain and periarthritis of the shoulder, Med. Jr. and Rec., 1930, cxxxi, 364-365. Google Scholar5. EDEIKENWOLFERTH JCC: Persistent pain in shoulder region following myocardial infarction, Am. 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Heart Jr., 1942, xxiii, 715-719. CrossrefGoogle Scholar13. FREEDBERGSPIEGELRISEMAN ASEDJF: Studies on the effect of cold and heat in patients with angina pectoris, Jr. Clin. Invest., 1941, xx, 4. Google Scholar14. PEMBERTONOSGOOD RRB: The medical and orthopedic management of chronic arthritis, 1934, The Macmillan Co., New York. Google Scholar15. WRIGHT S: Applied physiology, 1934, Oxford Medical Publications, New York. CrossrefGoogle Scholar16. KEHL KC: Dupuytren's contracture as a sequel to coronary artery disease and myocardial infarction, ANN. INT. MED., 1943, xxix, 213-223. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Great Falls, Montana*Received for publication August 4, 1942.From the Medical Department of the Great Falls Clinic, Great Falls, Montana. 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GILSON, M.D., CECIL M. DAY, M.D.Schmerzhafte Zustände der ExtremitätenThe Hyperabduction SyndromeAnginöse Schmerzen und ihre DifferentialdiagnoseThe Importance of Recognizing Post-Infarctional Shoulder-Hand SyndromeThe shoulder-hand syndrome 1 September 1943Volume 19, Issue 3Page: 433-456KeywordsAcute myocardial infarctionFallsIschemiaMyocardial infarctionSclerodermaSympathetic nervous systemVasoconstriction ePublished: 1 December 2008 Issue Published: 1 September 1943 PDF downloadLoading ...