| Abstract
| - Summary. The clinical data of forty-five cases of ainhum on the Isthmus of Panama during the 40-year period 1904 to 1944 are summarized. The disease occurred in adult, active, otherwise healthy West Indian negro males, the incidence being 1·5 per 10,000 West Indian male hospital admissions. Pain was the prominent symptom. Amputation provided satisfactory results. No evidence of basic relationship between ainhum and other diseases such as leprosy, syphilis, scleroderma, and arteriosclerosis was noted, nor did environmental conditions appear significant. An hereditary racial tendency was believed to be the most important factor in the development of ainhum.
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