I am almost to the 50 year mark myself. After spending a decade in the wild and wonderful hills of West Virginia got all too familiar with tobacco products, especially snuff. Now as I recall there are different types of snuff, and the chewing type like Skoal or Copenhagen is different than the fine powdered snuff that the ladies of the 18-19th century would snort into their nasal passages. And thanks to Bert with the anatomy of the snuff box delineates how a nice pocket is formed if one extends the thumb outward by holding the hand palm down. This "snuff box" would hold the finely powdered tobacco as it was poured from the tobacco tin into this anatomic depression and then held to the nose and snorted. It so happens that the 1st metacarpal bone adjoins to one of the wrist bones in the same location and is one of the most common sites of osteoarthritis of the hands, and thus the term snuff box tenderness or arthritis developed. And I defer to Jon about the reactive arthritis associated with inflammatory bowel disease, which I think is an excellent possibility as well. I did not know the answer to your question about Andrechuck, I had voiced my opinion on another thread giving Bert my support thinking how I would have handled the situation if I was in his place. And talking of other threads, the one you wrote about the AC get together and your analysis is nothing short of brilliant--I have to agree with Bert you may have to step it up to another level.
