Prayer Sign
Can be a physical finding of diabetes, related to a condition called diabetic cheiroarthropathy. This results in stiffness of the joints preventing the fingers from opposing each other in a prayer position. This finding can also be seen in patients with sclerodactyly from systemic sclerosis.
Patient 1:
This is an older man with a history of poorly controlled diabetes who was found to have a positive prayer sign related to diabetic cheiroarthropathy.
Patient 2:
This is an older woman with systemic sclerosis complicated by severe pulmonary hypertension.
Excellent