Thickening and Contraction of the Palmar Fascia (Dupuytren's Contracture) Associated with Alcoholism and Hepatic Cirrhosis

Abstract
BARON Guillaume Dupuytren,1 in 1832, attributed the hand deformity that now bears his name to retraction of the palmar aponeurosis, and an extensive literature has since appeared concerning its etiology, pathogenesis and treatment. In a detailed review, Skoog2 mentioned as possible causes or concomitants of Dupuytren's contracture heredity, trauma, neuropathy, rheumatic diseases, endocrinopathy, epilepsy, developmental abnormalities, contraction of the palmaris-longus muscle, local infection, tuberculosis, chronic intoxication (lead) and others. None have been universally accepted or proved.The deformity is quite common; it is said to occur as frequently in nonmanual workers as in those who labor with their hands,3 and . . .