TY - JOUR T1 - SIckle cell dactylitis AU - Rao KP, Patel AR, Shah PC, Vohra R Y1 - 1980/03/01 N1 - 10.1001/archinte.1980.00330150153037 JO - Archives of Internal Medicine SP - 439 EP - 439 VL - 140 IS - 3 N2 - To the Editor.  —Sickle cell dactylitis is a well-known clinical and roentgenologic entity. It has been described in homozygous sickle hemoglobinopathy, sickle cell C disease, and sickle-β thalassemia.1,2 To our knowledge, this complication of sickle cell disease has not been reported in patients above the age of 10 years. We report the case of an adult with sickle-β thalassemia in whom dactylitis of both hands developed.Report of a Case.  —A 26-year-old black man had been observed for sickle-β thalassemia. Past history included four to five pain crises each year since childhood. There was no history of the hand-and-foot syndrome as a child. The patient was admitted to Cook County Hospital, Chicago, for sudden onset of fever and diffuse swelling of both hands of five days' duration. Physical examination showed a young man in moderate distress from pain, with temperature of 38.3 °C. He had jaundice; the spleen was SN - 0003-9926 M3 - doi: 10.1001/archinte.1980.00330150153037 UR - http://dx.doi.org/10.1001/archinte.1980.00330150153037 ER -