Abstract
There are few references in the literature relative to gangrene complicating scleroderma. Although trophic disturbances and superficial necroses, especially over prominent and bony points, are quite common in this condition, actual gangrene involving large amounts of tissue is rarely mentioned. Cohen1recently described two cases that came under his observation, both involving the fingers. Mracek2and Buerger3mention the possibility of this complication. The mechanism of the process is obvious. As the thickening and infiltration of the skin progress, there is increasing pressure on the blood vessels, gradually obliterating them and closing off the circulation. REPORT OF CASE D. E., a woman, aged 28, admitted to Montefiore Hospital, Sept. 1, 1922, complained of pain and stiffness of the joints, especially the small joints of the hands. The family history and past history was irrelevant. The present illness began about two and one half years before, when the
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