A right "spider" hand and a left "eagle" hand.

Khoo SB. Test Your Knowledge: A right " spider " hand and a left " eagle " hand. Malaysian Family Physician. 2009;4(2&3):100-2 CASE HISTORY Jim (not his real name) is a 68 year-old friendly and pleasant Eurasian man who has been very pleased to participate in our clinical teaching sessions for many years. To the medical students, Jim is fond of showing his hands and to test them by providing the following information: " My left hand resembles the claws of an eagle and my right hand those of a spider. " " I was born with normal hands. More than 30 years ago, I was diagnosed with a disease for which I was treated with a particular drug that caused my skin to become very dark especially on sun exposed areas on my face and arms. Other people mistook me to be an Indian and spoke Tamil to me. The colour of my skin returned to normal several months after I completed a 2 year course of this medication " " What do you think is wrong with me? " QUESTIONS: 1. Describe what you see on Jim's hands. 2. What are possible causes for this type of hand deformity? 3. What was the confirmed diagnosis? What was the drug that Jim was referring to? Figure 1. Dorsal view of both hands.