Michael J. Maricic, MD
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To the Editors: As a rheumatologist, I recently evaluated a patient with osteogenesis imperfecta, who had come for a second opinion. His enlarged bossed skull, blue sclera, and severely underdeveloped lower extremities were disturbingly distracting, even to a physician accustomed to dealing with physical deformities and who had seen such patients before.
As I take a history, I usually scan the patient's visible joints, looking for signs of inflammation or deformity. With this patient, however, it was not until I was near the end of the physical examination when I felt his warm, swollen elbows, wrists, and metacarpals and noticed
Maricic MJ. Handicapping the Handicapped. Ann Intern Med. ;117:975. doi: 10.7326/0003-4819-117-11-975_1
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Published: Ann Intern Med. 1992;117(11):975.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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