ALF C. JOHNSON, M.D., F.A.C.P.
Disabling 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
JOHNSON AC. DISABLING CHANGES IN THE HANDS RESEMBLING SCLERODACTYLIA FOLLOWING MYOCARDIAL INFARCTION1. Ann Intern Med. ;19:433–456. doi: 10.7326/0003-4819-19-3-433
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Published: Ann Intern Med. 1943;19(3):433-456.
Acute Coronary Syndromes, Cardiology, Coronary Heart Disease, Emergency Medicine.
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