A 20-year-old man was seen for his limited finger motions in the right hand. He described this to have ensued after a meningitis episode during childhood. The medical history was otherwise noncontributory. On physical examination, the fingers of his right hand were found to be in tight flexion both at metacar-pophalangeal and interphalangeal joints (Fig. 1A). When the fingers were forced toward extension, they could hardly be neutralized, and simultaneously, intentional contractions of the forearm muscles were also noticed. On extension, severe dermatitis was observed on the palmar side of the fingers with an accompanying bad odor (Fig. 1B). Substantial neurological examination of the patient was unremarkable.
展开▼
