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David S. Mendelson, MD; K. F. Chan, MD; In Sook Song, MD

JAMA. 1981;246(14):1591-1592.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

History

A 58-year-old black man had pain in both fifth toes. The right toe had been involved for five years, with diminishing pain during the preceding 12 months. The left toe was more acutely affected, with pain of four months' duration. The patient was born in the United States and at the time of presentation was employed as a postal clerk. The patient stated that his mother had a fifth-toe amputation for reasons unknown to him. On examination, both fifth toes had constricting bands around the proximal phalanges and were rotated 90° inward so that the nails faced laterally (Fig 1 and 2). Radiological studies showed swelling of the soft tissue of the toes and a lucent band around the base of each fifth toe. Evidence of demineralization and bone resorption of the phalanges, particularly on the right, was present (Fig 3 and 4).

Diagnosis

Ainhum affecting both fifth toes. . . . [Full Text PDF of this Article]

Author Affiliations
From the Departments of Radiology, the Mount Sinai School of Medicine (Dr Mendelson), New York, and the Veterans Administration Medical Center (Drs Chan and Song), Bronx.

Footnotes
Reprint requests to Radiology Service, Mount Sinai Medical Center, 100th Street and Fifth Avenue, New York, NY 10029 (Dr Mendelson).

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