CASES
The following are examples of patients in whom examining the fingernails may help identify their conditions:
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CASE 1: 78-year-old with multiple conditions.
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CASE 2: 84-year-old man with a painful ankle.
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CASE 3: 68-year-old man with esophageal cancer.
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CASE 4: 62-year-old woman with dermatomyositis.
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Acknowledgments by Mark E. Williams
The author would like to thank the University of Virginia GME Office for funding support; Jim Thomas, MD, of www.Dermnet.com for permission to use images from their extensive dermatologic atlas; and the internal medicine residents at the University of Virginia for pre-testing and their helpful feedback.
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