A Handy Clue: Palmar Fasciitis and Polyarthritis Syndrome

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Presentation transcript:

A Handy Clue: Palmar Fasciitis and Polyarthritis Syndrome Kyle Mahoney, BS, Danelle Cayea, MD, Qing Kay Li, MD, PhD, Allan C. Gelber, MD The American Journal of Medicine Volume 127, Issue 2, Pages 116-118 (February 2014) DOI: 10.1016/j.amjmed.2013.09.021 Copyright © 2014 Elsevier Inc. Terms and Conditions

Figure 1 A dorsal view shows diffuse erythema and swelling of the proximal and distal interphalangeal joints on each hand. The American Journal of Medicine 2014 127, 116-118DOI: (10.1016/j.amjmed.2013.09.021) Copyright © 2014 Elsevier Inc. Terms and Conditions

Figure 2 Digital contractures and thickening of the palmar fascia along the thenar eminence, hypothenar eminence, and across the center of the palm, bilaterally, are evident in this palmar view of the hands. The American Journal of Medicine 2014 127, 116-118DOI: (10.1016/j.amjmed.2013.09.021) Copyright © 2014 Elsevier Inc. Terms and Conditions

Figure 3 Abnormal cells were identified during transbronchial fine-needle aspiration biopsy of the left mainstem bronchus. Cells revealed hyperchromatic nuclei with prominent nucleoli, an irregular nuclear membrane, scant cytoplasm, and high nuclei:cytoplasm ratios (Diff-Quick staining, 40x). The American Journal of Medicine 2014 127, 116-118DOI: (10.1016/j.amjmed.2013.09.021) Copyright © 2014 Elsevier Inc. Terms and Conditions

Figure 4 A core biopsy demonstrated a poorly-differentiated carcinoma without glandular formation or keratinization characteristic of adenocarcinoma and squamous cell carcinoma, respectively (hematoxylin and eosin stain, 40x). The American Journal of Medicine 2014 127, 116-118DOI: (10.1016/j.amjmed.2013.09.021) Copyright © 2014 Elsevier Inc. Terms and Conditions