Fig. (1) Radiographs at the time of the initial consultation at our hospital show small radiolucent spots in the middle phalanx of the left index finger on anteroposterior (A) and lateral (B) views. The left index finger appears distinctly reddish (C, D). Irregular shadows are observed on the distal phalanx of the left hallux and middle phalanx of the left second toe (E, F).