Sir.—We report a case of brachydactyly that appeared several years after we discovered a bilateral benign pheochromocytoma with irregularities of the metaphysis of the middle distal phalanges of the hands.
Patient Report.—An 11-year-old boy presented during the winter with puffiness and slight cyanosis of his hands. His blood pressure was elevated. Roentgenograms of the index and little fingers showed irregularities of the metaphyses of the middle distal phalanges. Investigation showed bilateral adrenal masses, and benign pheochromocytomas were removed surgically. The boy's hypertension regressed and long-term roentgenographic follow-up demonstrated disappearance of the metaphyseal irregularities. However, shortening and broadening of the middle phalanges of the index and little fingers was obvious 4 years after the onset of the disease.
Comment.—Becker et al1 described a 12-year-old boy presenting in summer with puffy and slightly cyanosed hands. Unfortunately, no roentgenography of the hands was requested. This child also had ankle