Turkiye Klinikleri Journal of Medical Sciences, cilt.30, sa.1, ss.446-447, 2010 (SCI-Expanded)
A 36-year-old woman presented with an unusual deformity in her hands that began ten years ago. She noticed thermal sensory loss in her hands. On examination, her fingers were thickened, nails deformed, and there were slowly healing ulcers and fissures in her palms (Figure 1). On neurological examination, there was touch, thermal and pain sensory loss limited to her arms. The cranial nerves were normal. Tendon reflexes were normal in the arms, and exaggerated in the legs. Hoffmann and Babinski signs were elicited bilaterally. © 2010 by Türkiye Klinikleri.