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General emaciation marked: skin dark in color, growth of corporeal hair abundant and fine: features heavy, notably the end of the nose; the malar prominences and the ears also proportionately large; arms and thighs well formed except for emaciation; wrists proportionately very large; hands massive and of the'spade shape' type of Marie; fingers bulbous, the thickening being notably of the soft and not of the bony parts; nails thick, long, and sharply curved both laterally and longitudinally; tissue beneath the nails congested and deep blue in color, fading off into the dusky red of the surrounding finger pulp." Apparently the bone ends of the distal phalanges were somewhat enlarged, as the ends of the max radius and ulna certainly were, but not greatly so.