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John F. Nettrour, MD; Scott D. Eggers, MD; Mark R. Pittelkow, MD; Eric L. Matteson, MD

Arch Neurol. 2007;64(3):447.

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

A 51-year-old man presented with a chief complaint of pain involving his dominant left hand. Over a 6-week period he had experienced the abrupt onset of progressive pain and numbness involving the sensory distribution of the median nerve. The fingers had become weak and stiff, thus causing difficulty with all motor activities. Before this, he had experienced none of the "classic" symptoms of carpal tunnel syndrome. He had, however, noted the appearance and persistence of unusual skin changes on the hand.

Five years previously the patient had noted the insidious onset on his left hand of erythema involving the volar aspects of the thumb and the index and long fingers, as well as the radial half of the ring finger. A portion of the palm was similarly affected. Scaling, fissures, and bleeding were often . . . [Full Text of this Article]

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