Systemic sclerosis.

Systemic sclerosis (scleroderma) is a rare generalized disorder of connective tissue origin. This condition is predominantly a clinical diagnosis, based on the clinical signs and symptoms. Here is a case report of 26-year-old female patient with the classical features of this disease. This case is reported for its rarity and variable expressivity. This article also reviews the literature of this uncommon condition.

Palmaris longus--a muscle with multiple uses in leprosy-affected hands.

The present paper reviews the anatomy of palmaris longus muscle and also the situations where palmaris longus muscle has been used as an independent motor or as a donor of tendon graft material. Its relevance in leprosy-affected hands is also discussed because the muscle is usually spared in hand palsies consequent to leprotic neural damage. The advantages and disadvantages of its use in different operative procedures have been analyzed. The author's experience with this muscle in the correction of hand deformities in leprosy is described.

Síndrome de Holt-Oram

Se presenta un caso de síndrome de Holt-Oram en una paciente de 27 años de edad, estudiada en el Servicio de Cardiología del Hospital San José de Bogotá, con todos los criterios diagnósticos consistentes en malformaciones esqueléticas en miembros superiores y cardiopatía congénita tipo comunicación interauricular ostium secundum. Se hace una revisión de la literatura con énfasis en la importancia de su diagnóstico y la consejeria genética en este tipo de patologia.